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/'r. <br /> + t`A1 C'LjLATI01'1 <br /> 1. 1,25% of Contracabw or �I. +i <br /> Cj-A x .0115 $ <br /> (contract price) <br /> 2. Surchar . ** Add the State Building Code Division <br /> Surcharge to each permit. OtMlS $ <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. p s Age and Ha-udligj (Only mail-in applications) —IJ' - <br /> 4. TOTAL PERMIT FEE ' (Add lines 1-3 above) <br /> * CONTRACT pRICE or JOB COST mean the actual or estimated dollar amount charged for the permitted <br /> work including materials, tabor, profit, and other fixed costs. it is the arnount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation are fumisbcd by the owner, <br /> tenant or any other party the reasonable market value of such items must be added to the estimated cast <br /> or contract price for permit Pee 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 conte-det. <br /> *� The STATE 5URC}IARGE is .0005 of the contract price under $I.LKK),000 or whichever is <br /> $.ot) - <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 certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature:` <br /> �I <br />