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� . <br /> , �, �- <br /> k' <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> 1`� �0� x.0125$ �z5 � <br /> ( ntract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of 5.50) <br /> x.0005 $ q� <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> �o <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �G 3�J <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged <br /> to the customer for the work done. If any material,equipment, labor or installations aze furnished by <br /> the owner,tenant or any oth.er party,the reasonable mazket 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 cost, the City may request the submission of a signed copy of the actual contract. <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 cail the Building Department at(952)249-4600 for the price. <br /> �ry � p�...,.� r�,� <br /> y,e3 ^T?.F.,' ..r., <br /> .�s � <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 /> _ (� r <br /> Applicant's Signature: . (�L�. �O�.r�.cs�,-1 Date: (9� t�o -p(o <br /> � y � g y , � <br /> ����'� � ����� j� ���� � <br /> „r��� , .�,� � �.,��. ,��... <br /> 3 <br />