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PEh�L� �� ���T�J�..A,'fi'F�I� <br /> 1. 1.25% of �antract Price* or T�vF�i�mr� �'e� (S�S•QQ� <br /> �� x .0125 $ <br /> (contract price) <br /> 2. State Surchar�e. ** Add the State Building Code Bivision <br /> Surcharge to each permit. x .0005 � <br /> (contract price) <br /> or $.50, whichever is greater <br /> �. Postage and �andlinQ (Orily mail-in applications) $ 1.50 <br /> 4. TOTAL �EItMIT FEE (Add lines 1-3 above) $ <br /> * COPITRACT P1tICE or JOB COST means the actual or estimated dollar amount charged 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 ue furnished by the owner, <br /> tenant or any other party the reasonable market value of such items muse 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 Ciiy may request the submission of a signed copy of the actual contract. <br /> � <br /> � <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 Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Flumbing Permit, agrees to do all <br /> work in strict accordance vvith the ordinances of the City and the regulations of the State of <br /> �innesota, and certifies that all statements made on this applic�tion are coanplete, true and <br /> correct. <br /> Applicant's Signature: Date: /�--/�-�/ <br />