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APR-5-2�1� 02:�5P FROM:JOHN MYERS PLUMBING 6514397764 T0:9522494616 P.2�3 <br /> I'L�RMIT FC�CAI,CUL-ATT01V S —rORS OV�R �SQa:.40 <br /> If above does nol apply; follow guidelines below: <br /> 1. CONTRACT PRICC '"is 1.25%of contract price with a(Minimum Fee of 550.00) <br /> 3,400.00 x ,0125$ 50.00 <br /> (contruct price) (minimum$50.00) <br /> 2. STATE SURCHARG� ** Add the Sl�le Bldg Code Div. Surcharge(Minimum�ee of$.90) <br /> x.0005 $ 0.50 <br /> (contract pncel (mimmum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S <br /> • * CONTRACT' PRICE or JOB COST means the actual or estimated dollar Amount charged for the <br /> permitted work including materinls, lebor, profit,and other fixed costs. (t is the nmount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations ara fiimished 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 qrice for permit fee purposes. In the event that there is � dispute on rhe <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—wllichever is <br /> greater. For valuations over$I,000,000 call the Building Department at(952)249-4600 for the price. <br /> PI�[1MRT,NG A�RM]�'APPi,[CATION At3�ECM�N'f <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 ordinanees 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 /> Applicant's Signature: Qate:_����� �__ <br /> L, _ ._ ..,.� <br /> � R����Fo�m �� <br /> 3 <br />