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d. ! i <br /> , 03!31'12611 ! 04:21i 7637535125 NOWTHEN PLUMBING PAGE 04105 <br /> i <br /> I I <br /> � i <br /> PERMIT FEE C�hI:CIJLATIO�T.S ��JO��S OV��$5tl0,�U <br /> If�bove dpes not apply; follow guidelines b�low: <br /> 1 I, CONT_RACT PRi[".�. * js 1.25%of cqntract priee wrth a(Minimum Fee of$50.00) <br /> �� � 4,675,00 58_44 <br /> , x.0125$ <br /> , (conMOcl prioc) (minimum$50.00) <br /> 2� T TE S R F GE �"� Add the Sia[e:61dg Cade Div. Surchargc(Minimum Fec ot55,Ut1) <br /> � 4,675.00 x .00�5 ��•34 <br /> (conl��ctpricc) � (minimum$ 5.00j <br /> 3� POST�GF&HANDLiNG(Only on.Mail-In Applications) � 2.pp � <br /> 4 TOT�L PI'sRMIT FEE(Add Lines 1-3 Abovc) $60,78 <br /> ■ � CO TRACT PRICE or .10B COSI' mcans the actual or estimatcd dollar amount charged for the <br /> permi ed wc►rk including materials, labpr, profil:,a.nd other fixed costs_ .1t is the amount to he charged <br /> to 1he customer for the work donc. If any material, eqUipmcnt, labor or installations arc furnisl�ed by <br /> the ovrn�r, tcAant or any pthet pARy, thc reasonable market value vf such items musti be added to the <br /> estimated eost or contract price for pecmit fee purposes. ]n the rvcnt that there is a dispute on the <br /> amount of the,job cost, the Cirv may request the submission of a signed copy of The actuai contract. <br /> ■ ""� The STATE SL+RCHARGE is .0005 of thc contract price under$I,OOD,OQp pr$5.00—wh ichever is <br /> greater. F0�VAluat�ons ouer$1,000,000 call the Building pepartmcnt at(952)249-4600 for thc price. <br /> �L�U�1Birir+�p��n�z'r�;p�T;�c��i�onr A���1vi�T�r � <br /> � i <br /> Tlie undersigned hereby applies to the City for issuance o�f a Plumbing Permit, agrees to do all <br /> wvrk in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota., a,nd certifie5 tl�at al.l statement,s made on thig application are eomplete, true and <br /> con-ect. <br /> /�,pplicant's Signature: l�` Date: �J/�� ��� <br /> i ._ . ... ..._....... <br /> Reset F�►r.m <br /> � <br /> 3 <br />