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V <br /> s�;� � , <br /> '.'. p. F ��., . � ��,.,�A ...� � • . <br /> . <br /> F'+3 ."a <br /> 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$35.00) <br /> -� <br /> �ar �( .� ( � ( x .0125 $ �_� �- �•`:�-' <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee of$.5(I) <br /> ,�,� � - <br /> _�(�t'�'� , .�._�L�' x.0005 $ � �? t�- �- <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ -�-5p— <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ z-�,�::`_� , {�_��`: <br /> ■ * CONTRACT PR]CE or JOB COST means the actual or estimated dollar amount charged for the <br /> pern�itted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor 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 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$I,000,000 or$.50-whichever is <br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. <br /> �� � ° � , ' <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 /> A licant's Si nature: " �_ � �' <br /> PP g � _T('� � �'�, I ���— Date: �� i��� 1 ��'�j.. <br /> ,� <br /> ,{ � �,,,,i � <br /> .�P ���',"�� <�,. � � �.� <br /> .,'.,� ,, . <br /> 3 <br />