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<br /> Tf above does not apply;follow guidelines below;
<br /> 1. C R�,CT P�tTCE •is 1.259'0 of contracC pdce vvith a(Minimum Fee of$50.00)
<br /> ,
<br /> � �� / �� `� x,0125$
<br /> ` f��� (Contract price) (mib�mum 550.00)
<br /> v��
<br /> �� Z. STATE SURCHAR�E
<br /> x.0005 $
<br /> (COntract price�
<br /> 3_ POSTACrE�HANDLING(QnIy on Msil-In ApplicationS) $ 2.0p
<br /> 4. TOTAY,PERMTY'FEE(A�d T,ines 1-3 Above) �
<br /> � ' COIVTRACT pRICE or 70� COST means the actual or estimated dollar amount charged for the
<br /> permitted work including materials,labor,pro#it,and other�ed costs. Tt is the amount to be charged
<br /> to the customer for the work done. Ii'any material,eqvipment,labor or installations are furnished by �
<br /> the owner,tenant or any other parry,the reasonable market�vaiue of such items must be added to the
<br /> estimated cost or contract pric.e for perm"rt fee purposes. In the event that Ehere is a dispute on the
<br /> amount of the job cost, the City may request the submission of a sigued copy of the actual eontract.
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<br /> _ 'JA°�"-'t�%r5F5:1�=:
<br /> The undersigned hereby appIies to the City for issuance of a Plumbing Permit, agrees to do all
<br /> wo�k in strict accordance with the ordinances of the City and the reguIations of the State of
<br /> Minnesota, and certifies [hat all stateznents rnade an this application are complete, true and
<br /> correct.
<br /> Applicant's Signature. Date: f r���' � �
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