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<br /> � PERMIT FEE CALCULATION
<br /> �• 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
<br /> �,
<br /> � �r�' °��° �= x .0125 $ �'� k a:�Y
<br /> �; (contract price)
<br /> 2. State Surchar�e. ** 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 Handling (Only mail-in applications) $ `°��`
<br /> 4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ �f `�; ! i;
<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 fized costs. It is the amount to be charged to the
<br /> customer for the work done. If any material, equipment, labor,or installation are fumished 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
<br /> 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. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
<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 /> conect.
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<br /> Applicant's Signature: ,� �,..� Date: ;�'—�� " %�
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