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P�RMIT rE� CALCULATION <br /> 1. 1.25% of Contract Price* or Miuimum Fee ($35.00) <br /> � ,C��; x .0125 $ � ,On <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcliarge to each permit. x .0005 $ , �(L_ <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Posta�e and Handling (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ?,1 , �(� <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work inciuding materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. Tf any material, equipment, labor,or instailation are furnished by the owner, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cost <br /> or con[ract 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 SURCHARGE 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 Inspectional 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 /> Minnesota, and cerlif'ies l]Iat all staternents ii�ade on this application are complete, ttue and <br /> correct. <br /> , , <br /> � t', . <br /> Applicant'sSignature: - � i� "`— �� ���---� Date: �� - ��' :- c' <br /> ,J <br />