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FE�I'L' �E C�.LCI'JLATTCYIti <br /> 1. 1.25% of Cantract Price* or 1`2i�im.u�. Fee (�3�•dt11 <br /> , ��J,��� x .0125 $ , <br /> (contract price) � <br /> 2. State Surchar�e. ** A►dd the State Building Code Division <br /> Surcharge to each permit. x .0005 $ <br /> (contract price) <br /> or $.54, wluchever is greater <br /> 3. Posta¢e and Handlin� (Qnly mail-in applications) $ 1.50 <br /> 4. TOTAL PERNIIT FEE ' (Add lines 1-3 above) $ • <br /> * CONTRACT PRICE or JOB CQST means the actual or estimated dollaz amount chazged for the permitted <br /> work including materiats, 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 are furnished by the owner, <br /> tenant or any other party the reasonable mazket 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 contract. <br /> ** The STATE SURCF€ARGE 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 lnspectional 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 /> 1Vlinnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: �� �'� _I�ate: /�—j �—�� <br />