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Nov � 3 , 2006 11 � 19AM NORBLOM PLUMBING No � 1901 P , 3 <br /> If abova does not apply;follow guidelines below: <br /> 1. CONTRACT PRCE W Is 1.25%of contract prtce with a(Minimum Fee of$35.00) <br /> x.0125 S <br /> (concraa prica) (minimum$35.00) <br /> 2, STATE SURCHARGE w*Add the State Bldg Code Div. Surchsrge(Minimum Fee of 5.50) <br /> x.0005 $ <br /> (oontract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Ma11-In Applicatlons) $ 1.50 <br /> 4, TOTAL�ERMIT FEE(Add Lines 1-3 Above) S <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chsrged for the <br /> permitted work including materiale,labor,profit,and other fixed costs, It is the amount to be cherged <br /> to the custorate�r for the work done, If�ny material,equipment, labor or instatlations ara furnishad by <br /> the owner,tenant or any othor pany,tho raasonable market value of such �toms must bc addcd to thc <br /> estimated cost or contract price for permit fee purpoaes. !n the event that there is a diepute on the <br /> amount of the job cost,the City may request the submission of a signed copy of the actual contract. <br /> ■ •� The STATE SURCHARGE is .0005 of the contract price undor$1,000,000 or$,50—whichever is <br /> greatar. For valuatlons over$1,000,000 call the Sullding Dopartment at(952)249-4600 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. <br /> Applicant's Signature: Date: ��/�r �� <br /> �+�����I�dH h��l�iil�tr i ��iiL�iif' "����i'1��,l�t�,���; a;'���� �.�,� <br /> �� �l�I l� I l�� �,�i��I ��� +� � °�,I <br /> , ='�f ���i��',� ���ir tl Ip�l1 �� t <br /> �c"�tN I nii ll�l NII�In�i�P hHa i�li�.l��lliu�liUll h.��+il ttti, fif�l,l�f�ii�� 0. d <br /> 3 <br />