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PE��' �'+'EE C�.�LTL�.T��I� <br /> 1. 1.25% of Contract Price* or I��im.� �ee���5.00� .-�- <br /> fg°� �� x .0125 � ���` ��� <br /> (contract price) <br /> 2. State Surchar�e. ** Add the State Building Code I?ivision <br /> Surcharge to each permit. /����,�� x .0005 $ ���� <br /> (contract price) <br /> or $.50, whichever is greater $ � <br /> 3, P'osta�e and Handline (Only mail-in applications) $ ��� � <br /> 4. TQTAL PERMIT FEE (Add lines 1-3 above) <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chuged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation aze furnished by the owner, <br /> tenant or any other party the reasonable market vaiue of such iiems must be added to the estimated cost <br /> or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> 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,OU0,000 call the Department of Inspectional Services for the price. <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 complete, true and <br /> correct. <br /> t� licant's 5ignature: �J i�lir�t'k..���°�e. Date: ���� <br /> PP <br />