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Sep-01 -98 11 = 28A janecky plumbing ing 4549297 P _ O1 <br /> pER1�iTT FEE CALCULATInN <br /> I. 1 ,25% of Co�itract Pric:e* or I4linimum Fee (�35.UU} �. <br /> �60 6 � � � � .ai2s � � 7 - 5 D <br /> � (contract pricej <br /> 2. Statc. Stirchar�e. �`* Add the State Building Code Divisian � ?� <br /> Surcharge to eacti pennit. �`� •��5 � <br /> (caniract price) <br /> or $.5(}, whichever is greater <br /> 3. P�sta�e and Handli� (Only mail--in applicatic�r�.$) $ �-�- <br /> 4. T(�TAL PERMIT FEE (Add lines 1-3 abovej � _ 3 �" � � <br /> * CONTKACT PiZICE or JOB CC)ST rrieans the actual or estimated dollar amount charged for the permitted <br /> w�ork including ma[erials, labor, protit, ancl other fixed costs. I[ is the ��ount to be charged to the <br /> cus�orner for the wark done. If any materi�l, equi�ment, faUur, or installation are tvrnlshed b}�the-owner, <br /> tetiant or any otficr party the reasonable ci�rket ��alue of such items tnust be added to the esEimated cost <br /> vr�untract price ror peritut fee purposes, In the e�ent that tt�::re is a dispute i>rt [he .ir.�c�ur,: ur ti�e}ob�u�t, <br /> the City may ccguest thc subaussion of a signed copy of d�e actual contract. <br /> ** 'T'he S`T'ATE SL�RCHARGE is .000� of the contruct price under $1,OCw,(X10 or �.5O - whicheves is <br /> grea�er. For v:ilua[ions over $I,OCX},000 call ttle Departtuent nf Inspectional Services for the pric.e. <br /> The unclersigned hereby ap��lies to the Cit�r for is�u•ance of a Plumbing Yermit, agrees tu do all <br /> work it� stric.t accordance with the ordinances of the City ancl ihe regulatinns of the 5tate of <br /> i��iinnesota, and ctrtifies that all statements rx�ade on this a�piicatiou arz �oiuplete. true and <br /> cozre�t. <br /> ��,c, -nc � �i <br /> Applicant'sSignature: � _ D���; 9 � � � <br /> ,' i�� <br />