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� � iii � ,3 <br /> �a. ! ,�. '4t�«Y� �}, te�F. <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 /> � J <br /> �/, D�� x .0125 $ <br /> (c ntract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ l.50 <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 /> permitted wark 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. Por valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. <br /> #'�� ��'���#� � �r °� �������� `�"� �� <br /> The undersigned hereby applies to the City far issuance of a Plumbing Permit, agrees to do all <br /> wark 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 /> Applicant's Signature: � Date: y� ( S'- O� <br /> �'y�.�m '�l�.� �"^ � #5�+;���. '�`"'r ,+�'•'.. <br /> �. .'�ti+J� �'' �:. � , i . �� <br /> 3 <br />