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r Jan 0� 11'04;OOp Microsoft 5076457654 p.3 <br /> PERNIIT FEE CALCULAT�ON S —JOBS OVER$Sfl0.00 <br /> If above does not apply;follow guidelines below: <br /> � , l. CONTRACT PRiCE *rs 1.2�%of contract price�vith a(Minimum Fee oi$50.00) <br /> _ % G1U�. U �� x .O125 $ SU_G�C� <br /> (contract pricej (minimurn$�0.00) <br /> 2. STATE SURCHr1RGE **Add the State Sldg Code Div. Surcharge(Minimvm Fcc of�5.00) <br /> X.000s $ S - �� � <br /> (contract pricel (minimum� �.00) <br /> 3. POSTAGE� HANDLII�TG(�nly on Mail-ln Applications) $_ �Q— �L� U� <br /> I 4. TOTAL PERMIT FEE(Add Lines t�Above) S � S_ �� <br /> ■ " CONT�ACT PRICE or lOB COST means the actual or estimated dollar amour►t charged for the <br /> permittec� work including materials, labor,profit,and other fixed costs. It is the amount to be chat�ed <br /> to the customer for the work done. If any material, equipment, labor or installations are fumished by <br /> the owner, lenant 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 'ob cost, the City may request the submission of a si�ed c�py of the actual contract. <br /> ■ **The ST.AT SURCHARGE is.0005 of the contract price under$1,000,000 or�5.00—whichever is <br /> greater. For val�ations over$l,000,000 call the Building Department at(952}249-4600 for the price. <br /> I <br /> PLUMBING PERMIT APPLTCATTON AGREEMENT <br /> � ; The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> j wo£k in strict acco�ance K�ith the ordinances of the City and the regulations o�C the State of <br /> I' Minnesota, and cerkifies that a�l statements made on this application are complete, true and <br /> � correct. <br /> I J <br /> Applicant's Signature: Date: �"'�7�'�d�� <br /> I <br /> � Reset Fonn <br /> I <br /> � ` <br /> � <br /> �, <br /> � <br />