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. � � • �� <br /> 1 �� <br /> _t� ��y� <br /> PERMIT FEE CALCULATION S)-JOBS OVER$500.00 � <br /> a <br /> If abo�e does not apply: follow ouidelines below: <br /> I. COVTRACT PRICE * is 1?�%of contract price with a(Minimum Fee of$50.00) <br /> Ss, ��o.� �� X.o�zs$ /O 3 . 7�� <br /> (contract pnce) (minimum$50,00) <br /> ?. STATE SURCHARGE � <br /> �3� � �U x .0005 � �{, �� <br /> Icontract price) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOT'.AL PER'�11T FEE(Add Lines 1-3 Above) $ i Jc� ��% <br /> l • <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 /> ro the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the o��ner, 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. 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 /> PLUMBING PERMIT APPLICATION AGREEMENT <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 atei nt ,made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: <br /> Reset Form <br /> 3 <br />