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952 44�5 7487 • Line 1 10:13:45 a.m. 06-18-2007 4/9 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE "`is 1.25%of contract price with a(Minimum Fee of 535.00) <br /> as; osd X_o�as$ 3/a s'—' <br /> (contract pci�c) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) <br /> Z��, D�es�o x,0005 $ J a � <br /> (contract price) (minimum$ .50) <br /> 3_ POSTAGE&HANDLING(Only on Mail-In Applications) $ .�9� <br /> �o0 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � Z,S � <br /> ■ * CONTRACT PRTCE 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 /> to the customer for the work done. If any raaterial, equipment, labor or installations are fumished by <br /> the owner,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 /> ■ **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 /> 1fie 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 /> Applicant's Signature: , Date: /� � 7 <br /> I �'i . <br /> 3 � <br />