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y. <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee 5.00 <br /> �`l, 5CQ�f`'= x 1.25 $ ���ca� <br /> (contract price) <br /> ` 2. State Surchar�e. ** Add the State Building Co e Division <br /> ' Surcharge to each permit. /y��v U`�' x .0005 $ � 2� <br /> (contract price) <br /> 3. Posta$e and Handlin� (Only mail-in applicati ns) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 abov ) $ �9� �s3 <br /> * CONTRACT PRICE or JOB COST means the actual or es imated dollar amount charged for the permitted <br /> work including materials, labor, pro£it, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, bor, or installation are furnished by the owner, <br /> t:.naat cr a:.y other p^�� 1ze reasonabl� �a:�et .�a:ue of uch items rnus: be a�ded to the es:imated c�st <br /> er centract pricP f�:per±�it fee gurposes. In the event tha there is a d:spute cn t�e aazount of the job cost, <br /> ;' the City may request the submission of a signed copy of the aetual contract. <br /> � ** The STATE SURCHARGE is .0005 of the contract p e under $1,000,000 or $.50 - whichever is <br /> greater. For valuations over $1,000,000 call the Depart ent of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuanc of a Plumbing Permit, agrees to do all <br /> wark in strict accordance with the ordinances of the ity and the regulations of the State of <br /> Minnesota, and certifies that all statements made on is application are complete, true and <br /> correct. <br /> i: <br /> Applicant's Signature: Date: ����3 -�� <br /> } '� i <br /> � <br /> I <br /> ,f I <br /> �.. <br /> t� <br /> t': <br /> II i <br /> I <br /> I <br /> � <br />