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P'E�LF� FE+E C�S.F.CUE..�iT101�d <br /> 1, 1.25% of Cantract Price* or 1�Finimum Fee (S35.t1(1} <br /> X .�izs $ �5, 0 6 <br /> (contract price) <br /> 2. State Surchar¢e. ** Add the State Building Code Divisian <br /> Surcharge to each permit. x .0005 $ Jr' d <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3, Pastage and Handlin� (Qnly mail-in applicatians) $ 1.50 <br /> 4. TOTAL PERMIT FEE ' (Add lines 1-3 above) $ ��. 0 O . <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the <br /> customer for the work done. If any material, equipment,labor,or installation are furnished by the owner, <br /> tenane or any other party the reasonable market value of such items must 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 City may request the submission of a signed copy of the actual contrace. <br /> ** The STATE SURCHAItGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is <br /> greater. For valuations over $1,000,000 call the j?ePartment of Tnspectional Services for the price. <br /> The 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 q <br />