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t, <br /> . , . <br /> g:rinr4Dt_'''' ITE.M1Vg"-CU-„GM.: 4 4 ( ) JQB O . $, 04 00 t. t:'. ,;t .; <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> i) (0 a® x.0125$ , 00 <br /> (contract price) (Mini-Muth-$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) <br /> (©C) x.0005 $ i go <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) .11.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amoun c .1 led for the <br /> permitted 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$1,000,000 or$.50-whichever is <br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. <br /> ' '1 .fiiT - "PLS UMB PERI VAPP IA-70QN AGREEIVIEI TlIT` ';I , <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 /> rAN <br /> Applicant's Signature: "V ut / Date: I ^ V <br /> a96i <br /> il <br /> 3y Reset Form , <br /> 3 <br />