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Dec 1714 04:33p Stewart Plumbing Inc. 763-428-1733 p.4 <br /> PERMiT FEE CALCULATCON(S —JOBS OV�R�SOUAO <br /> If above dces not app]y;follow guidelines below: <br /> 1. COIVTRACT P[tICE * is].2�°!0 of contract price with a(l�finimum Fee otg50Ad) <br /> `� �°! � (,`�VO X.o�zs� 3(�. �U <br /> (contract pricc) (mioi�orr 550.00) <br /> 2. STATE Si1RCHARGE �� �Q� ' .�,1 1 II � <br /> S �1.. � xA�05 $ ( `t- . �� . <br /> (comh-act pnce) <br /> 3. P�STAGE&HANDLING(Only on Mail-in Applications) $ 200 <br /> 4. TOTAL PERMTI'FEE(Add Lines 1-3 Above) $ �� ` �i O� <br /> • " CONTRAGT PRiCE or J�B COST means the acfual or estimated dollar amount char�ed for the <br /> permitted wo�ic including materials,labor,profrt; and other fixed costs. It is the arnount to be charged <br /> to the customer for the work done. If any material,equipment, labor or instailations are furnished by <br /> the owner,te�ant or arry other party, tfie reasonable market value of such items must be addad to the <br /> estunated cost or vontract price for permit fee purposes. In the event that�ere is a dispute on the <br /> amount of the job cost, the City may request the submission of a sigted copy of fhe actual c�ntract. <br /> PLUMBING PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Plurnbing Perrnit, agees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Mirutesota, and certifies that all statements made on this appiication are complete, true and <br /> correct. <br /> �. <br /> Applicant's Signature: � ��� Date: I � � � � � <br /> 3 <br /> - _- ---- <br /> • r �a:,� - <br />