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_ w .�� ;�RONO � 612473051 U 06/10/97 10:2b � :0�/02 N0:211 <br /> 1'_�:.81�[L'�._.FFE CALCUI.A`t't[�� <br /> ' . i.2S% of �ntrac� Price'" or Nii��i ryurn Fee �,.� <br /> ��z �,�_ x .0125 $ 7�. �� <br /> � <br /> (contract price) <br /> :. �tate Surct�arge. "`* Add the Star� �uilding Cc�cie i�ivisi�t-� <br /> Surcharge to each permit. _^�'pr���r-- x .�pQ� � . 0CJ <br /> ., <br /> (cuntract price) <br /> or $.50, whichev�r is greater <br /> 3 Pasta�,a�}d H,�n�lin� (Only mail-in apptications) $ <br /> =+. TOTAL P�RMI'1' �'F�: (Add lines I-3 �bove) $ � <br /> , ` <br /> � CONTRAL'7' PRICE or JQ�Ct�ST mr�ns ihe acru�il or estirna[ed d�llar amount charged for lhc perml�[ed <br /> work inciuding materials, labor, protit, and othcr fixe�i costs. It is the amount to be cha�'g�d tc� �h� <br /> cuslUm�r fbr thc wnrk dane lf ar�y material, cyuipmenc, labor, or instailstion are i�arnished by thc awner, <br /> tenFirst or any other party the reasortahle market value of such items mu�t b� added to tl�e Cstimated cost <br /> or conlract price for permit fee }�urpc,ses. !n th�event tha; there is a di�putc on ihe �mount of the j�b ec��[, <br /> thr. City may request the submission of s signed copy of the nctual contract. <br /> "'" The STATE SURCFiARGE is .OU05 oI [ho cantract pric.e �nder $1,OOU,t}(}f) or $.50 - whichever ic <br /> greate.r. �or valustions over �1,U00,{1()0 call the llepnrtment of Inspcc;tic�na4 Serviees for lhe price. <br /> "I'hc undersigned hereby applies to th� City� for issuance of a Plumbing Permit, a�rees t� do all <br /> �vork in strict accordance with the Qrdinances of the City and tf�e regutations af the State of <br /> Minnesota, and certi�es that all statemencs made on this applicatr�n are �amplete, tri.�� and <br /> .::�rr�c r, <br /> ^ <br /> Applicant'sSignature; � __ _ Date: ,(ri / ( � <br /> , � ?��� <br /> Cr� ��ti��� <br />