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. ^ <br /> PERMIT FEE C�LCULATIC�N(5)-TOBS OV�R $SOO.Ot� �� <br /> � [f abo��e does not appl_y;folloev guide.lines belo�,�,�: <br /> I. CONTRACT PRIC'E �" is 1.2�'S4,ol�cantract price with a(h'linimum Fec of$35.p0} _ <br /> � U <br /> � <br /> / r .012�'6 � U <br /> _---- —----- <br /> (contract priccl (mmiu�uni���Of)) <br /> 2. STATE SLJRCHs'�EEGE `�* ��dd the State BId�Code Div.Siirc�h�rce(�1inimum Fec ol'$.5(1) <br /> VV / x .000� $ , � (o <br /> --------- — ---- --...._.— ------------ <br /> (cun aotpriccj (minimum$ .5{)) <br /> 3. POSTAGE&I-��'�NDLING(Only on Mail-In Applications} S ].Sl} <br /> �j�� � �� <br /> 4. TOTAL PERD-1I1'�E�E(Add Lines I-3 Above�) $____�/•J --- <br /> ■ * CON'TRACT PR1CC or JI�B �C'OST mean� thz act�Ga] or estimated dollar amo�mt charged for the <br /> pem�itied ���ork including materials, labor,profil, and other tised costs. It is the amount to be charged <br /> to the custo�zie�r for the wnrk t6uole. ]f any materiaL equipment, labor or installations are furnished bv <br /> the o�vner, ten,mt or any otl��er �aarty, the re�isoi�iable market value of such items roust be ddded lo the. <br /> estimated cost or contract price �for permit �f�ee purposes. In the evei�t that there is a dispule c>n tl7e. <br /> amount of the job cost, the City may rec�ue;t the submission of a signed copy o1 the actuaJ contract. <br /> ■ '�* The STATF SI.JRC��ARGIi is .00Oi of the contract price under$I,000,000 or 5.50 whichever is <br /> greatcr. For�aluatii�ris ov.�r`61_�Chl"G,01'}0 e�11 the'[3uilclin�Dep�trtm�nt at(952)Z49-4600 for the griee. <br /> I'f. L���1�[i���� T'f ���a41T �1'�'i,�C'<<1TIUNAGREEMINT" _' <br /> �— _ ---_ _._.---- ---- -- -- ------ --'--� <br /> The undersi�ned hereby applies to the City for issuance of a Plwnbing Pei�mit, agree5 to do all <br /> tivork in striet accorda.nce �vitl� tht urdiiia�nces ot tlle City and the r�gulatiol7s of the� St�ite of <br /> 1�'Ii�7nesota, and certities that all state�ments �nade on this application are� complete, tcue arld <br /> correct. <br /> A L�-ant's Sianature: � Date�: <br /> � PP � __�') U ' ��� — <br /> Reset Forr� <br /> �R � > <br /> � <br />