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<br /> PERMIT FEE CALCULATION
<br /> 1. 1.25% of Contract Price* or Minunum Fee ($35.001
<br /> �� � x .0125 $__�'���-�-c-�,.
<br /> (contract price)
<br /> 2. State Surcharge. ** Add the State Building Code Division
<br /> - Surcharge to each permit. x .0005 $
<br /> (contract price)
<br /> or $.50, whichever is greater
<br /> 3. Postage and Handlin� (Only mail-in applications) $ 1.50
<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 permitted
<br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
<br /> customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
<br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost
<br /> or contract price for pernut 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 /> ** 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 /> x
<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 /> - ��,�_.
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<br /> Applicant's Signature: ,� '" �� � � - `�'��- — Date:' ��` ����
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