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0�/21/2014 12:28 FAX 9529335049 CLILLIGAN MNTKA C�004 <br /> �- <br /> - :`PERMIT FEE CAI;CULA'I'ZOI�T S';,-J0$S OVER$500:�0 '; <br /> If above does not apply;follow g�idelincs below: <br /> 1, CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> x.0125$ <br /> (contract price) (mmimum$SQ�O) <br /> 2. STATE SURCHARGF, **Add the State Bldg Code Div.Surcharge(Minimum Fee of 55.00) <br /> x .0005 $ <br /> (coniract price) (minimum$ 5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In AppIications) $ 2.00 <br /> 4. TOTAL PER'VIIT FEE(Add Lines 1-3 Above) $,�a,Q� <br /> ° * CONTRACT PRICE or JOB COST means the actual or estimated doltar amount charged for the <br /> permitted work inciuding materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. (f any material,equipment, labor or installations are fumished by <br /> the owner,tenant or any other party,the reasonable market value of such items must be added to the <br /> astimated 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 svbmission of a signed copy of the actual contract, <br /> ■ **The STATE SURCHARGE is ,0005 of the coniract price under$1,000,000 or$5.00—whichever is <br /> greater. For valuations over�1,OOO,Q00 call the Building Department at(952)249-46Q0 for thc price. <br /> k� �, ,, ,��L����:���iTsaP�Lr�A�`r��,���� y {��4��s��M��k�w���t��{ <br /> F.,� _ ��,� <br /> The undersigned hereby applies to the City for issuance of a Plumbing Parmit, agrees to do aIl <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 /> correct. <br /> Applicant's Signature: � Date: �'a l - t l <br /> .. .�. . ;,��'"=f�a <br /> �` r <br /> _'s`��,� 7i�'��`�!4 <br /> tr„``�,c,..hi,.�'.�a..i,.�4'.:;i�=x . <br /> 3 � <br /> I <br />