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Ja� . 8• 2001 2 � 04PM NORBLOM PLUMBING No �4055 P . 1 <br /> Y <br /> , Y <br /> PERMYT�EE CALCULATION S —JOBS OVER$500.00� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PR10E " is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> x.0125$ <br /> (contract pricc) (minimum$35.00) <br /> 2. STATE SURCHARGE "'*Add the 5tate Hldg Code Div.Surcharge(Minimum Foe of S..SO) <br /> x.0005 � <br /> (contract prica) (minimum$ .50) <br /> 3. POSTAGB&HANDLING(Only on Mail-In Applicatioas) $ 1.SQ <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ '' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed coats. It is the amount to be charged <br /> to the customer for the work done. If any mQterial�equipment, lebor or installations are furnished 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 eost, the City may request the submission of a signed eopy of the setual contr�ct. <br /> ■ *'' The STATE SURCHARGE is .0005 of the contract pricc under$1,000,000 or 5.50—whichever is <br /> greaur. For valuations over$J,000,000 call the Building Department at(952)249-4600 for the price, <br /> PLUMBINCr PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to�do all <br /> woxk in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certiftes that all statemonts made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: <br /> Resat Form <br /> 3 <br />