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100114•1111C14, p�, X00,12 0 IY �II I r�(h�. ski}!'�: <br /> � a�E CALCULATION(S)-„�' � �, ���G��l�h�l�h��i�a����„��r�� <br /> 1 I J �.lyi � <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> a OD x.0125 $ 3S <br /> (cntract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) <br /> c o x.0005 $ 1 <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3-1. SO <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the owner,tenant or any other party,the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, 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.b For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. <br /> pi EFF 141 }IrJC,,,,440•0110 '"a '///t!!l���� y�yy'4.,�R el ' ( * IG F�9 N,CJI `ue�y �v ;Ziff {.{tyy{O W' •k. Ni '.;'.'9',' <br /> rl 1M lA�u4,4 Nur : r Du. G ',Li�.h.+.a..� +� �Jf l Y .Ix i Hn�� ,S, J.°"'.„4-,A^�., .,Y` et4 r Y� N4 <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: GOA..t_ fit, Date: A-1-3-01 <br /> M , <br /> ' t ��1�w r 1[�S$t FQ.r�ali)III�� +. <br /> 4N hN 11 yl41„ µl rll <br /> 3 <br />