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� <br /> � <br /> ���R��s r,�� ��r�yJ� P,�F�lv <br /> f�iit .1 1 i L �. �, u av � <br /> 1. �.2�% �f C�ntract Price* or l�inir.:�n; FeP (�3�.��?) <br /> �����✓ x .Q125 $ <br /> (contract price) <br /> 2. State SurcharQe. *'�` Add the State Building Code Division <br /> Surcharge to each permit. x .0005 $ <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Posta,��e and Handlina (Only mail-in applications} $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> � COivT�=.�+CT PRICE or JOB�CST r�ea�zs the ac�ual c:estimated dollar am�unt C��(�CjPd 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 installatian 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 permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the Ci�y may request the submission of a signed copy of the actual contract. <br /> *'k The STATE SURCHARGE is .000� of the conuact price under �i,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 Ciry 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 /> corrPct. <br /> , _- � � �-- <br /> Applicant's Signature: �—"�_ � ���� � `� Date. � D <br />