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� <br /> � � k��� � ; '�500,0� <br /> F��, � ,���� � <br /> _____ <br /> If above does not apply; follow guidelines below: <br /> I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> 5��.�v x .0125$ ��.U� <br /> (contract price) <br /> (minimwn$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum�ee of$.50) <br /> _ S�+ ��•OJ x.0005 $ � � <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) g ! �1.3� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute 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 under$1,000,000 or$.50–whichever is <br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. <br /> : q <br /> � <br /> , .�,..'. _:. `� .._ ,�i.n:;: _ .=;, ,., . C�;.. � „ ; ., ,�. � �g... <br /> � _� ��: r?�. �:i <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 /> Mir;�esota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> ApplicanYs Signature: � ��"`�' Date: 0��3—�� <br /> � �v��� `: � . : *v AJ' '� �',,�"� <br /> � �'� Reset Forn�{� �������,�.k� <br /> ,. „,;�, �"�`�,�r���.�,���� <br /> 3 <br />