PE�tMI� FEE CALCUI,A�'IOl�I
<br /> 1. 1.25% of Contract Price* or 1Vlinimum Fee ($35.00)
<br /> �u x .0125 $ �c��, `�
<br /> ����OC�(�— C��
<br /> (contract price)
<br /> 2. State Surcharge. ** Add the State Building Code Division
<br /> Surcharge to each permit. � � i '' °�� x .0005 $ � , �C�
<br /> (contract price)
<br /> or $.50, whichever is greater
<br /> � pnct�oP anrj �,anrilin�^(�nl�tr"ma��_�a������ � ��
<br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �Q � �f�
<br /> * CONTRACT PRICE or 30B COST means the actual or estimated dollar amount charged for the permitted
<br /> work including materials, labor, profit, and other fiaed costs. It is the amount to be charged to the
<br /> � customer for the work done. If any material, equipment, labor,or installation aze furnished by the owner,
<br /> tenant or any other party the reasonable market value of such items must be added co the estimated cost
<br /> � or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
<br /> �" the Ciry may request the submission of a signed copy of the actual contract.
<br /> �
<br /> �.
<br /> '` ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
<br /> � greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
<br /> 3
<br /> �= The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do aIl
<br /> �'` work in strict accordance with the ordinances of the City and the regulations of the State of
<br /> �:
<br /> Minnesota, and certifies that all statements made on this application are complete, true and
<br /> correct.
<br /> " _,C
<br /> Applicant's Signature:��C�'1� �t`/��� � Date: �=6,� '
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