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. <br /> ,, �,�,,� �,.� � �i,� �, <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 /> 1�%�� :' � ���� xA125 $��`��.(� i_ <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> �t���-� Ll i •`�� x.0005 $ I •� � <br /> (contract price) (minimwn$ .50) <br /> 3. POSTAGE&HANDLING(Onfy on Mail-In Applications) $ 1.50 <br /> r' --� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' � � , _i( .� <br /> • * CONTRACT PRICE or JOB COST means the lctual or estimated dollar amount charged for the <br /> perrrtitted work including materials, labor, profit, and other fixed costs. [t is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are fumished by <br /> the owner, tenant or any other party, the reasonabie 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 /> ■ ** 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 /> �. , ����' �� � , <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 comp(ete, true and <br /> correct. <br /> A licant s Si nature: r ?�, � � � <br /> PP ' g �'�,`�'l '�� �_� �=-�����— Date: `� ��'� <br /> ..;��, a . . ' '�` r������'-- <br /> Rese�Foi-m� <br /> 3 <br />