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� r��rr���c�.c�at.�.�tc�.�(s��-�����r�r�����oc�:�o <br /> If above does nul apply;follow guidelines below: <br /> 1. �ONTRACT PgICE *is].25%of contract price with a(Mi�mnm Fce of$50.00) <br /> � 9� ?SC� .Oc7 X.o�2s s 3 7J- �� <br /> (oanbaat price) (min�nm S'•0.00) <br /> 2. 9TATE SURC1iARGE **Add ttue StaGe Bldg Code Div_ Su�harge(Nrairnum Fee ut 5.50) <br /> a 9 ��-o.oo X.�5 $ r��- �� <br /> ca a�ir��e> cm�,;��s .so, <br /> 3. PUSTAGS&Ht�NDLING(Oniy on Mail-In Applicetions) � --�— <br /> 4. TOTAL PERMTT FEE(A,dd Lines 1-3 Above) S 3 ��• 7 G <br /> • * CONTfZACT PRFCE or JQB COST means the acEual or estimated dollar amount chazged for the <br /> pemniaed work including roaterials,labor,Qrofit, and other fixed costs. It is the�unt to be charged <br /> to the customer fvr the work done. If any material,equipmeut, labor or installatians are furnished by <br /> the owner, tenant ar any other p�ty,the reasonable msrket value of such items must be edded to the <br /> estimated cost or contract price far permit fee pwposes. In the event thai the�is a dispute on the <br /> amount af the job cost,the City may request the submission of a signetl copy of the actual contrect, <br /> • ** The STATE SURCHARGE is .00aS of the oontrad price unde $1,000,000 or$.50—whichever is <br /> greater. For valuations over$1,00(),000 call the Building Departrnent et(952)249-4600 for the price. <br /> pL�I�t�''��R�'� . :CA�'T�4��-;�.� .. �I'��': ; ;, <br /> The undersigned hereby appliea to fhe City for fssuance of a Plumbing Permit, agrees to do all <br /> wark nn slrict accordatt�ce with the ordinances of the City and the regulatians of the Stste of <br /> Minnesota, and certifies ti�at all stalements made on this application are complete, true and <br /> correc�k <br /> Applicant's Signabure: ` � "� D�: 02 lG lp <br /> �@Si��0��1. <br /> 3 <br /> E 'd EEL T Bz�E9L 9N I HWfl�d l�Idf�31S WdBO �6 0 T DZ 9 T qa.� <br />