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. , . , ��.�t�' � �:���.�c�► ����=1�?���"����io.00 <br /> If�bove does not agply;follow gvidelines below; <br /> ]. CONTRACT FRICE *is 125%of conEract price with a(Mlni�uum Fee of S511.00) <br /> �5 L�vo x .oi2s $ 3 1 �.S� <br /> (con atprioe) (minunumS7D.00) <br /> 2. STATF$��iA �i �*p��,�ryete Bldg Co�te I3iv_ Surch�xrge(11Tinimum Fee oP S.SO) <br /> _ �S 0 c�� x.000s $ 1�- S v <br /> c�•��r�;a> �m���s so� <br /> 3, POSTAGE&�-�NDLING(Only on Maii-In Applications) $ _-�86-- <br /> 4. TOTAL PERNIIT FEE(Ac�d Lines 7-3 Above) $ �� S'�� <br /> • * CON'IRACT PRICE or JOB COST means the actual or estimated dollsr amount ahmged for the <br /> permitted work includmg rnatsrieZs,lsbor,profri, and other fitxed cosEs. It is the amamt to be cherged <br /> to the customer for the wcx�k done. If any material, equipment, ]abor ar instslIatians �e furuished Uy <br /> the owner,tenani ar any other�arty, the ceasonable market value of sach ite�.s mu�i be added to the <br /> eslimated cost or coa�h�ct price for permit fee pmposes, [n the eveat fhat the� is a dispute an the <br /> atnount of the job cost, the City may request the subcnis,siasi of a sigixed cop�y of the uctual contract. <br /> • **The STATE S(JRCHARGE is .0005 csf the contr�ct priee under$],D00,000 or$.50-wtuchever is <br /> greater, For vatuakions over$1,000,000 cat}the Bnilding Department at(452)249-4600 for tl�e prioe. <br /> , PI,T��fi�"P��t1PP;LI�A"��3��i �dT <br /> The under�ignad hersby applies to #he City for issuancc of a Plumbing PeTmit, agrees to do all <br /> work in strict accordance with the ordinances of the City atrd the regu.ladatts of the State of <br /> Minnesota, and certifies that all statements made on this application ar8 complete, true and <br /> correct. <br /> Applicant's Siguature: . � ° " Date: � �7 l0 <br /> � - -- - <br /> �S����QT'�'�`I <br /> 3 <br /> E 'd EEG T BZ�E9L �N I HWfl�d 121df�31S Wd6E �� 0 i OZ L i qa� <br />