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. <br /> � � ���r: `PERIVIIT FEEY��,.�GULATION(S)—JOBS 'O� ER �500.00 °' R '` ,: 'I <br /> � .-„ r <br /> If above does not apply; foilow guidelines belo��: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> x.0125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) <br /> x.0005 $ <br /> (contract price) (minimum S 5.00) <br /> 3. POSTAGE R HANDLING(Only on Mail-In Applications) $_ �,gg—� <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> ' * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted 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 ov�mer, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost or contract pnce 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$5.00—whichever is <br /> greater. For valuations over$1,000,000 call the Building Deparnnent at(9�2)249-4600 for the price. <br /> � `� �"� ��U�ENIENT }��; , <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 /> correct. <br /> .- <br /> �,G / (� ��� <br /> Applicant's Signafure�� �"��'�'� G/� G �'�i�% C� Date: ��,/�/�� <br /> 3 <br />