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� _ <br /> Y ! <br /> 1 <br />� � <br /> � � FEi�i1'F'����AL��I;ATIf?�+]' S "'�JOBS:OVER$SUD.OQ, .�� <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.0 ) <br /> 6 �� <br /> X.oi2s$ <br /> (con act price) (minimum$3 .00) <br /> 2. 5TATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x.0005 $ <br /> (contract price) (minimum$ . ) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charge for the <br /> perxnitted work including materials, labor,profit, and other fixed costs. It is the amount to be harged <br /> to the customer for the work done. If any material, equipment, labor or installations are ' hed by <br /> the owner, tenant or any other party, the reasonable market value of such items must be adde to the <br /> estimated cost or contract price for pertnit fee purposes. In the event that there is a disput on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual c ntract. <br /> ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whic ever is <br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the rice. <br /> ° � .. : 5.�����M�,�����,'���������������{„11 .�. { '�� , ��`; �' <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to o all <br /> work in strict accordance with the ordinances of the City and the regulations of the St te of <br /> Minnesota, and certifies that all statements made on this application are complete, tru and <br /> correct. <br /> Applicant's Signature���a� Date: / <br /> �� � 1 � aE ��-- <br /> 3 <br />