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i <br /> If above does not apply;follow guidelines below: ' <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$$0.00) <br /> • x.0125$ � <br /> (contract price) . (miIIvnutn S50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimnm Fec of S5.00) <br /> � <br /> � • � x.0005 $ ' � � <br /> (conuact price) ' (minimum S 5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ '�.p0 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ � y <br /> i <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount qharg,ed for the <br /> pernutted:work including matcriais,labor,profit,and ot�er fixed costs. It is the amount tobe charged <br /> to the customer for the wark done. If any material,equipment,labor or instaliations atc furnished by <br /> the owner,tenam or any oth�party,ttie reasonable market value of such items must t�e added to the <br /> estimated cost or contract price for�permit fee purposes. In the event that there i,, a;dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the�ctual contract. <br /> ■ *•The STATE SURCHARGE is.0045 of the contract price under$1,000,000 or$5.00�wh��hever is <br /> greater. For valuations over$1,OOO,Q00 call the Building Depariment at(952)249-4600�for tl, price. <br /> The undersigned hereby applies to the City for i"ssuance of a Plumbing Permit, ag�ireees to do all <br /> work in strict accordance with the ordinances of the City and the regulations o�'the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. � <br /> , �—� i <br /> Applicant's Signature: ��� Date: G G � �(��� <br /> , j <br /> � <br /> �lli I�I� �i� . , � <br /> • ` , <br /> � <br /> ` <br /> , <br /> . � <br /> _ 41 ' r ' I <br /> � I <br /> .. '' , � � 1 ` � � <br /> .. � i <br /> _ ; <br /> . i <br /> ' . i <br /> . , i <br /> * i <br /> .. , 3 � i <br /> ` -� �. • � � ; � <br /> .• � i <br /> � <br />