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, . �t <br /> 4.�di� ` � `�c.fl�di3.l�.�4.S�1.L.3 � <br /> 1. i,25�'0 0��,��"` or m,�� (5�4.4Q,� <br /> ��i�`� � � .oi2s � 2 Z �Z <br /> (contr�t price) <br /> 2, �t�t�,��� ar�� ** Add the Stat Building Cadc Division � / <br /> Surchs�rg� tq each pet�ziit. �l�'�-� x .0005 $ `7, ��U " <br /> (contr�ct pricc) <br /> ar $.30, whiGhaver is graatcr <br /> 3. �astar�,a�d���,�,� (4rily mail-in applications) $ Q�. <br /> 4. 'T'�TAI. P��iMIT FEE (Add lines t-3 above} $ � �(� <br /> * CONTRACT PRiCE or JC1�CQST mcans thc actual or estimatcd dolinr�mount chatged for the permltted <br /> wark inaluding matcriala, tabor, profit, s.nd at�cr t"ixed cosis. It is thc arnount to bc chargtd to the <br /> cvstomcr far the work don�e. if any matarial, equipmcAt, tabar,or instaliation are�urnlshtd by the vwncr, <br /> ccnant dr atry pthar party the reaaonable rnarkec value of such itcros rnusc be added to thc catlmated east <br /> ar cantre�t pr�cc for�ermit fea pur�oses. In thc event thaf there is a dispute on the umount vf the job c�st, <br /> the City may rcyucst the submission af a si�ned capy of the actual contr�►ct. <br /> *�' 'T'ht SxA'I''� SURCHAR(3& is .00OS of the contract price undcr $1,00�,000 or $.50 - whichevec is <br /> �reacer. flor valuatians aver $1,Q00,000 ca,li che Dapartment of Inspaccional Services Yor thc price. <br /> Tt�e utulersig�ned hereby applies to tt�e Ciry for issuancc af � Plumbing Permit, agrees to do all <br /> wark in strict accorc�anGe with the ordin�nces of the Gity and thc regulations af th� State af <br /> Minnesota, �rid certifics that all statements made on this applica���n are contplete, truc and <br /> COCTCCt. <br /> ^�-v� (�l�, <br /> � -/-1 <br /> Applicant's Signature: � � ���ate; 1 ( <br />