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• ., <br /> � ' ;' P��t�IIT FE���.C�:�'��3�T � '�-:J{}�3S'��Z$500.00 ' <br /> If aUove dces not apply,follow guidelines below: <br /> 1. CONTRACT PRICE *is 125°/u ol'contract pnce with a(Minimum Fee of$50.00) <br /> '� ��,." _ , <br /> x .O125$ � � i� <br /> (contract pricc} (minimum$5Q00) <br /> 2. STATE SURCHARGE **/1dd the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> � ' � ` �:.0005 $ �} ��" � <br /> (conlract price) (minimum$ .50) <br /> 3. POS1'AGI;&I-IANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ (; �j�(i- �' <br /> ■ * CONTRACT YRICF or JOB COST :nean: the uctual o� c��i�nateu �loi�ai aiuc�uui ci�ar�,�u ior tii� <br /> permitteci work including maTerials,labor,pro�t, and other fixed a�sts. It is the a�notu�t to be charge�j <br /> to the customer for the work done. If any material, equipment, labor or installations are furnish�by <br /> the owner, tenant or any other party, ihe reasonable market value of'such items mus�t bc: added to the <br /> estimated cost or contract pnce for petmit fce purposes. In the event that there is a dispute on the <br /> amount of the joi� c;os1, the City may request the submission of a signed copy of the actu�l contract. <br /> • ** The STATF_ SURCHARGE is.0005 of the contract pnce under$1,000,(�0 or$.50—whichever is <br /> greater. For valuations over$1,0(�3,(x�call the F3uilding I�e}�artment at(952)249-4b(X)foi•the pnce. <br /> PLUMSINC PERMI'I'APPI:ICA'1'IOhF:,+�GREENC�NT <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do alf <br /> work in stnct accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifes that all statements made on this application arc complete, true a�id <br /> correct. <br /> , , <br /> � �L <br /> Applicant's Signature: � \ � <br /> �,� �- r � �' �.� Date: '� �S <br /> � ��Reset`Form , `� �� �� <br /> 3 <br />