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. . <br /> PEKMIT FE�CALCiJLA��N(�}-JOBS OVER $500.00 ` _' <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> Gy / <br /> �5�o;�, X .o�2s $ ��g ��� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> ��j �U��, x.0005 $ �`�' 7 �'J <br /> (con ract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ . <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��,•• 5� <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. [n 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 /> `� r', T �'� 3 ��`��s��T�P���`���� ��4?���� �,R�� <br /> _ � � <br /> _. �a, , « ..._._. ....... .. . r.. _ .. ..... .. <br /> �� <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 /> Applicant's Signature: ���� _��c�r. ��'�-�.t,'1 Date: � �—� ��� <br /> Reset Form <br /> 3 <br />