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Mar, 6. 2008 2;41PM Norblom Plumbing No. 5031 P. 3 <br /> •4 <br /> ♦ <br />♦ • <br /> . ,.�;;;��"�'��.�;�;;':�;PE � FEE.C�►LC � ►ATION S —JOgS�.(�����$500:00;:.:�.;.,,=��.; :>:�,:�` � <br /> If above does not apply;follow guideliunes belo�: <br /> 1. CpN'1`RACT PRICE *is 1.25%of conbract price with a(Minimun��'ee of 535.00) <br /> x.0125$ <br /> (contreC[price) (minimum 535.00)�� <br /> 2. STA'�SURCHARC� �*Add the State Bldg Codc Div_Surcharge(Minimum Fec of 5.50) <br /> x.0005 $ <br /> (conuact price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-rn Appllcations) S 1.50 <br /> 4. TOTAL PERMIT FLE(Add Linas 1-3 Above) $_ I 1�� <br /> ■ s CONTRACT PRYC� or rOB COST means thc actual or estimated dollar Amount cliarged for the <br /> pennitted work including materials, labor,profit,and other fixed wsts. Yt is the amount to be cbarged <br /> to the customer for the work done. Yf any material, equipment,labor or installations Are furn;shed by <br /> the owner,tenant or any other parCy,thc raasonsbie market value of such items must be added to the <br /> estimated cost or conttsct pricc for permit fee purpose5. Tn the event thnt tl�e[e is a d'lspute on the <br /> amount of the job cost, the City may request the submission of a signed cop�r of the actust contract. <br /> ■ ss Ti�e STATE SLIRCHARGE is .0005 of tha contract price under$1,000,000 or$.50—whiehever is <br /> greater. Nor valuations over�1,000,000 call the�uilding Department at(952)249-4600 for the price. <br /> - ; .. ..p�,UMBT�TC•pE''.RTv�•T•A�p�TCAT�Y� ::';::?'�, . '`,�;: . <br /> The undersigned hereby applies to tlie City for issuance of a Plumbing permit, agrees to do all <br /> work in strict accordenee with the ordinainees of the Cifiy and the tegulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, mte and <br /> correCt. <br /> �...� ..r,_ _. <br /> , _. � c�8 <br /> Applicant's Signature: � bate: <br /> ,iY�• , —ir.—ter�y,rf�, ^,^-�•--���Yr-•.r-•,;-r .. . . <br /> „ �,Y;,: .;ti:; l•'i''.:•. •�' .•Y'�'Y' �:, <br /> i.,� �•y;'k;�• •:.> <br /> ,r' r y,f��• �.� Ree��:Fo�m.� £ ;:;��� <br /> 4�. ��r• �F"I�• .�,�.��i �� �iVy���. ..�. <br /> 3 <br />