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os�2s�2oao o2: 3a Fax �ss�7��s2s r�ooa�oo� <br /> r � <br /> �� �' �;, <br /> If above does noi apply;follow guidelines bclow: <br /> I. ON �CE '" is 1.25%q�contTact price with a(Minimum Fec of$50.00) <br /> � � <br /> x.0125 $ <br /> (contracl price) (minimam$50,00) <br /> 2. S ATE SUR H RG �'s Add the State Bldg Code Div.Surcharge(Minimum Fee of$.So) <br /> � ��_x.00a5 $ <br /> (cuneact price) — — <br /> (minimum$ .50) <br /> 3. POSTAGE 8c t-IANDLING(Only on Mai1.In Applicatiops) $_ 2�a <br /> �� — <br /> 4. T07'AL pERMIT FEE(Add l.,iaes 1-3 Abo�e) $ <br /> • '" CONTRACT pRICB or JOB COST means the actua( or estimated dollar aznounl chargcd for the <br /> permitted work including materials,labor,p�f���d other�ced costs. It is thc amount to be eharged <br /> to thr customer for the wo[k dpee. if any material, equipmenl, labor or installations arc furnished by <br /> thc owner, tenant or any othet parry,the rcasonable market value of such items must be added to the <br /> estitaated cost or contract price for permit fee purposes. In the cvenl that thcre i9 a dispute nn the <br /> amount of the,job eost, tho Ciry may rcquest the submission of a signcd copy of�� aaual contract. <br /> ' "'� The STATE SURCHARG�;is .00OS of tho conut�ct pricc under$1,000,000 or$.50–whichever is <br /> grcater. For valuations over$1,000,000 call the Building Department at(952)249-460U tor the price. <br /> 1'he undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do alI <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, ttue and <br /> correct. � <br /> rr�'r: <br /> /�� �'' r <br /> APP�icant's Sibmatur� � Date: �"�0 �D <br /> ,� . <br /> 3 <br />