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PERMIT I�EE CA�,CUL,ATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35 00) <br /> — S��(7 v� x .0125 $ <br /> 2. State Surchar e ** (�ontract price) <br /> � Add the State Building Code Division ° <br /> Surcharge to each permit. x .0005 $ � <br /> 9 <br /> or $.50, whichever is greater �contract price) <br /> 3• Posta�e and Handlin� (Only mail-in appiications) <br /> 4• TOTAL PERMIT FEE (Add lines 1-3 above) $ 1.50 <br /> $ <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted <br /> work including 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 fumished by the owner, <br /> tenant or any other party the reasonable mazket 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 Ci�y 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 $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of � <br /> Minnesota, and certifies that all statements made on this application are complete, true and '�� <br /> correct. <br /> Applicant's Signature: �-- '� <br /> __ Date: � /� a <br /> ���u�k"��; �i�'� �� _ ���.�����,., ,��r,�r� "��; ��`� �.'�'�� � � "':� `�� <br /> a � t �'Y ��� �s u>, .�� ,�..,�� -a^ � ��� b �#�� ��, ,�' <br /> r��� - �� �� �k a�+" <br /> t �' � �' ��R � �� � <br /> * ��,. � <br /> � �s � � ����� ��'*�' � 4 �; °. <br /> } �y,�4+1$����� r� � � 'x �,f� � ��� h S � -z�'" �*s� € � "�"-`s'�., 59.„�,, <br /> .��� b � ' ° �' � ' ��' �: _ ��� ' <br /> � ��� ��.°-� $�� ��� "`* �,��� �'z Y ����' � s ` �`� � 'i' �8 ,'� t� � <br /> � '�`'"� ��"���,`� .�+,��, 'G �. :� ,�n�`a�r r��.. '`� Y ���. w �. �. ::, yy�. 'f� , , a <br /> �?p. ��r�,w'����4"� _:i�`�+`��f� ��`� �"x�`t .-r �-.�sr�� ..� �����.,��n� �7���j�'^ �kr.. '� �����'�k�i� k� a, . �$�,ni'L. zr:i � <br /> } �T Y V i P � F � .'�t�-ti,�"'� ' s . f�t� ° r )5� I �;.,. r , <br /> '� :eA-��'�5�`.s::����n� �7 �.z��'�� '�'s^�� ag �''` �� ._&`��� �'±„ ..k� ��tis'� ,:� 'x.� ¢;���.�^��� ,� � � �-`� ��� <br /> �y,, r s 1 � <br /> ����'� ��s���"`'�'�� � �x�v i ax 3��'�Et.e"' �1" �if`FY ' �'��„,� t'�,.� d�_�Y�'�`,'���� 3 r��i-'�'`� . <br /> �����,Y����,'��s .�,�,�,���'}�;`�t �s•#R..�,��,. E�-.;s�,�y�'- y,'Y�"..��' _ � �`�s�.,a �m �#z�+r���� +,'�a4.�., ��'����� �'-:� <br /> ��� ��C�.,� '�'�"h a � s :' �s :."',a�"ti �' x a:`+�,- �-a''�'� '� �`�' a , ssti� ar�o",i�''z: ft *t.:- y .'g " . ,�r, � f.,� r•�'e' �, a'.a' t <br /> ^� u ;� e� �.��� «.�� � y s r ri_s'�� c:s •� s�„ � �;�� ,:: r � ��,���a�ze; *t' �� ��"�»�� �� ;� <br /> •��� `�"x � � i .��� : � .;.,-� �`'���" r , �;`r�;>r�7 �.� , �i�� � -,�� �: <br /> �.- c � 3?. . .� F �i 4 �e-S 'k r✓G ak ., �r 4a..1` '��: <br /> � �-,�i s .., ^T.p.'�Y a 4'�. 4, , a '��'�� ����•�-��} �'��,-� �3�Y'"i�. �� �i+ tl�';w`'� x-s �-x ��-v''.a a . e <br /> ..+'�'.__��.. � .wr� �5e�'�ty�:a.wm.�,x,c, .4. ,.>.-.Y�x.��"' r . ��:YFf� ,��r. . .. �.> .."`'�i'�ii..t^�7"`x �`,��'tiY�A+' ...j'�?•... ",A�r '�-..: f;�.>' <br />