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<br /> PERMIT FEE CALCULATION
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<br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) *tif'' `'e
<br /> x .0125'' r$f.`' f , e ,N, t ;
<br /> (contract price) -oo , '�`ht" '� -0• .,','-'4',,t ,t .,:i.
<br /> 2. State Surcharge. ** Add the State Building Code Division„,.:;,.::4.0,,,,,„,A.,11.','',0,`,6,1:'!',11'
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<br /> Surcharge to each permit. x" 0005 '' $ .; �"� t,
<br /> (contract price) .1,,,_; ' z4, ' , x, g#„,:•4,,,,,,yr:‘ ''
<br /> or $.50, whichever is greater ��, �,��'
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<br /> 3. Postage and Handling (Only mail-in applications) -,--$ 4-4:-,-r...11, ,0
<br /> 4. TOTAL PERMIT FEE (Add lines 1-3 a bve)_ `-
<br /> :,'-''-$.7,1--',..z.' -
<br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount.charged for the pernu i }
<br /> work including materials, labor, profit, and other fixedfcosts Itis the amount to be charged
<br /> customer for the work done. If any material, equipment,labor,or installation1 furnished ' 1: 1-6 (4.4-t"'',, •
<br /> tenant or any other party the reasonable market value'of such items must be added t o� u ;�� i
<br /> or contract price for permit fee purposes. In the event that there is a disputeon . .,• o n" _® ,.
<br /> the City may request the submission of a signed copy of the actual contract t` ,' '� 4 f."-i.• -'
<br /> ** The STATE SURCHARGE is .0005 of the contract price under`$1,000,000' r� • �F� i X1741, .;
<br /> greater. For valuations over $1,000,000 call the Department of Inspectional; a is s t� 'w),9,9--e "
<br /> The undersigned hereby applies to the City'for issuance,of a.Plumbtng °e'ii ,"" l0,.F 't'I,E:
<br /> work in strict accordance with the ordinances of the Ci and.thee wre 1` la i a iii 4 : 1(- ©i
<br /> Minnesota, and certifies that all statements made on this applicatio k.4.,-,K,,-;-;04.1-1 !).,1rx,i' ererec
<br /> correct. . � ; , �5+1 " 4' ''= r
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<br /> 2/11Applicant's Signature: � tD t � ' �{ '
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