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�1.�'"�'S "�M'tY b.�A �_.P 'i .,j a&� 5'rt�,h�e' � 4 �"..:.�7'S f� �? Y '1.'� '1 d. t 35:i �# �V•� F�"��.�a.����T�.4 ,�.,�, ..�. <br /> -,�',�a`;;� *S�' ;ys° �S„y'h-^� f` ,� ��,. ���,4� .� c is, 5y � £E 4 c r �c �tl� �' �,,Y'`%3 ,� �'"�las'�'�-€�`�S.'k'�.�^rr t�� £"`� � �`t- . <br /> � s ��r � 1 �� ,r,r � ,: � ' �,�s''� f � � �, i 1 3':: q k : b� _ i x i���g �.: 'y� ',+'�'�s'k.c�,��.,}Y�.. r� � .. <br /> �,^t f � ✓�'r. e Y .{'� { .I , ,'. �'` R¢ `y ., ,� , .��, ` ,. .., ,� .. ,� � 3� . � �.i': A...� <br /> � �t�`a t s {4 l '��?��-j i {�h��� �. � . t��^�r�����' �."3.�,Y'��N.�, {� ?"�� ep .��f.> <br /> ,��t$;��w�YY'�#'�:��'f+=y�:*=�� ���� � ���^�,,_ '� .�r,>v &""��3��:',�.��"�����,,ri.��« �z � <br /> �` PERMIT FEE CAI.CULATION <br /> �': 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> `��'�:�`-'� x .0125 $ <br /> .,_. <br /> > (contract price) <br /> 2. State Surchar�e. ** Add the State Building Code Division <br /> • Surcharge to each permit. x .0005 $ _ <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Postage and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `�,� ��%� _ <br /> * CONTRACT PRICE or JQB COST means the actual or estimated dollar amount charged for the permitted <br /> work inclu�ine materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation 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 contract 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 Jnspectional 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 /> ,t � � ��` g��,� <br /> � �, <br /> , • .�, <br /> Applicant'sSignature: � ' � �����`�;�'�' ---- Date: �`�2= . <br /> y <br /> �; <br /> � <br /> , <br /> : r,�. . :.,,: . . , . ... ;� <br /> __ � . _._ .�-_ <br /> . . �,� , �r2: � ,,�.� ,�, ' , ; ��� �-: _ . <br /> .��. •, <br /> �_=�n <br /> . , , , <br /> �.: <br /> ��� , - <br /> � ,� �,. , �.,, _ : <br /> b. <br /> ' : , <br /> .p:: <br /> � <br /> .. .: , �.?. ... '. '.- �.. �-. ,. <br /> d - <br /> ,9,- <br /> �+ �� <br /> k's = <br /> . � q � .. � . �� . <br /> . , . �., �. � � f�`�. r�� .r����.��- � �� , 3 . <br /> ,�y��w3�r� �� a� y ,ar�r"` r„g' 3,;g`' �, , .. :�.' �� � s <br /> - 'r^ `�""F S h'�0.J� rkr�",,,�M o�'«"�Y'���� �^ a '3-,�.'� �.' t��' s V <br /> �` et„.�,,� ,�'� '3� '�i� �'' ..s` ; � „ ^�'o- �'�t'�''� } z#.;r� <br /> �f���`��"��"^`�v��^�t�� ��`,�t''�� '�;3,���� `�`�L,�`���A��� � s����'��r�' �.t�°� ��. },�. .. � r <br /> � ^"k?6 s'>s"�^r'^ .`�i` xy.� -q s. � � �`,'� a� }s. 'k.' a r��� .� Fs�:v 'a . <br /> C"'A' r r � a t«�`,,�r�'.�*?�c '�E�� ",�,,,.,t2 x.�.�.1�,2�. S � �,���?��'-: ��'" � � �� . <br /> � xa y� ;� �27 ��� °�-� ,�� s �, .za��+�`�' ,kt'����� -. } �'k. �'t`�.rx'L},� r '��.. � � i <br /> y,r_� ,��t'� �r, yS' :�i.y'���a ha� � z�� � # e M' � f"a''� � �x.`t' ���d� ,�"�.� �r <br /> . ';.'�� b�'tr Fr�� t �G'- +Yah : 4l �,+a�+' s�. -.w � �n'�-t� ���. '�5..; ,,t�yws`'.�,,�� ,,l`���y�,.l''"���y �t �.S"»� n�.-.._� <br /> �� <br /> � '• "'�'x�b' J �cr a},FP�F' M`g ?''�, �'�' p i'W-�x� �.,+��r, r r��^t t{ '��� �cy� ;�� ° <br /> ;:,���',�'�',��.�, �k r.� * �.M *5� C. z �, x '�u ��,�n .�� � � k+fi�# -t� � 4 <br /> '" � � r �z z, �. � t[s'�r,�.4.�..3�r +k.��:� � �"��. z � '�g� a t" �'i '�t��` ;t 3 �'i �,x .`�'„<Rv`�'^�.'���'� s +Z�r�' . <br /> y � �A t.� a ti -."'k �' � �''`'^ 'S a'�: �� �' �t�£:�i e 6. '�'�' ' °�"�'s s�'r a �`3"3A�VC'.•�� "'�'�^'�3 " . .� ✓ <br /> ' r vch� � "` a' �'7::p� .�.+.�'�- '�.�' ; �C` '4 ���t��'� �"�'� �+z�s� �` �- "� K� �r `' x <br /> '� � � � �` �,^ ,� � � �' � f ��,���.� �. <br /> . 'L V., �ys�'�+'3��t-r ,�. �"`-. -s.�'�. �`� § : �� .. `� 4.. R'`�, ��� �. "F" , �� ���,3 � ts�:. <br /> ;�::�� �� b ar,w.'. +.'Y' S'F -..t'- �-ys .�.sf' +, ' sr -'a,r"� �$ . :P " <br /> ��� x ..�� 3a- � `�. """e # k'.r����.�e v 'Y r ��F �r'E? "t�.� +���� � .� . �j� <br /> +y.� 1`y,��.'k�::. ,g,-°y� vn , >« �S-$��� �.�` �a` B' ��:T .:"�i"*� � ��a� ad?`&' ey,4��; a,yY ia�. �.' '"�",.''�t�r��� 1 .r .- �. ^ <br /> . .,�. . o...''�Y�W��..a.'�''d.„�....':+�.�F._i..2'..`�.`-�- .n zr.�rs�,� �.. .,,.�. '.`. ;r�,i,n.z_4 . �,... .h�.,... .,�... .,_� _,,, _ v��,s._r_.-3:`.�' "'��.�..�b ',fiiaEa" . ,..., �+ ..�.a•S� . <br />