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i: <br /> 04/22/2010 09:45 FA% 9529335049 ' '. CULI:IGAN MNTRA f�J004 <br /> , , • : <br /> k�� �+��!�'� ���!�',r /'��j �. ^� �i � !. g_ .•� <br /> i�;'Y,r��;:r`�,:�.'i��;��r. it'j��vJ1��aGi�L�'q,� l.i7��' ����',��'.�h� �'Y-%k1i!�t7:if� � �� .�•�/•r/'3:�.�hF6.�6�•J�L*��'�rK,i. ��?f <br /> If above does not apply;follow guidelines below:; <br /> 1: CONTRAC'�PRICE * is 1.25%o�contract price with a(Minimum Fee of$35.00) <br /> x.0125$ <br /> '(aontrect price) (minimum$35.00) <br /> 2. r'I'ATE SURCHARGE *'Add the.State Bldg Code'Div.Surcharge(Minimum Fce of 5.50) <br /> � � x.0.005 $ <br /> ', (coatract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING{Only on 1VIai1-In Applications) $ �-5�0 a�l�D <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �7�5� <br /> ■ �` CONTRA.CT PRICE or 708 COST means the actual or estimated dollar ataount charged for the <br /> persnitted work including materials,labor,profit,and other fixed costs. It is the amount to be char$ed <br /> to the customer for the work doae. If auy matetial,equipment, fabor or installatioas 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 conlxact priee for permit f�e pwposes. 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 contracK. <br /> ■ ** The STATE SURCHARGE is .0005 of the conlract price under$1,000,000 or$.50-whichever is <br /> greater.�For valuations over$1,000,000 call the Building Deparhnent at(9S2)249-4600 for the price. <br /> , i <br /> � ' , <br /> The undersigned hereby applies to'the Ciby for issvance 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 /> Mi.nnesota, and certifies that all statements made on tk►is application are complete, true 'and <br /> correct. <br /> � 1�.� 15�� Date: �' '�:- I(� <br /> Applicant s Signature: � <br /> , <br /> � <br /> I� � � , I' <br /> i+ ' . i <br /> . �' <br /> 3 <br />