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PE' '• ` I) CALCULATION <br /> 1. 1.25'a •f Contract Price* or Minimum Fee ($35.00) <br /> 667) x,01.25 $ G} 137c <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. ! 3,500 x .0005 $ 7 <br /> (contract price) <br /> 3. Postage and Handling (Only mail-in applications) $ .1.50 ' <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 4 S , 5D <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation are furnished by the owner, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost <br /> or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the City may request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is <br /> greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: 84A A, ley//A Date: l 3 <br /> 3S71b <br /> I7 5 DO <br /> O DO <br />