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._ <br /> � <br /> 1'ERMIT F�C CALCULATION <br /> 1. 1.25% of Contract Price* or Mi�iimum Fee ($35.00) <br /> l, Bv✓ x .0125 $ <br /> (contract price) <br /> 2. State Surcharge. ** Add the State nuilding Code Division <br /> Surcharge to each permit. x .0005 $ <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Postage and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chargcd for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount ro be charged ro [he <br /> customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, <br /> tenant or any other party the rcasonable market value of such items must be added ro the estimatcd cost <br /> or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the City may request the submission of a sigued copy of the ac[ual contract. <br /> } <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 Departmen[ of Inspectional Services for the price. a <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 tllat all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: /17'j . Date: — 6 �� <br />