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, yW. ,� .�.; <br /> �p, , , <br /> �, <br /> , � ° <br /> _ <br /> . <br /> ....rs,� .�, � � <br /> � �� ��� �, <br /> ,. <br /> �3 � <br /> � w ., v, . .. ��.�. .,. ., �. . � ,. , � s <br /> � <br /> m . ti, _� ..:_.��� � � ,.. ,��r� <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> _ � ��� xA125$ � � � <br /> (cont act price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) <br /> � l�� x.0005 $ -� <br /> (contract price) (minimum$ 5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ :�.0p <br /> �' `� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' � -� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted 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 pernut 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 pnce under$1,000,000 or$5.00—whichever is <br /> greater. For valuations over$1,000,000 call the Building Department at(952) 249-4600 for the price. <br /> � .' �� ,� ;� F ���LICATION AGREEMEN �'�d,�'��`� ��.�� ;����`,,,�.� �`� <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 /> ' i <br /> � �'�" -� f I � � � <br /> Applicant's Signatu�: Date: <br /> 3 <br />