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PERMI�' TEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> `,'��`j � x .0125 $ v�� � <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. �O� �-� x .0005 $ • s�? <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) $ :�'�1 - U� _ <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged 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 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the Cicy 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 lnspectional 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 /> A licant's Si nature: � Date: f�/`�/O� <br /> rr � �� <br /> �' "��v�v .- �- � - � ; ; .. s'p� . _,n� .� � h� � ,,�.�a � �c�-c�� :_ �+�"� ��sz <br /> �� .-. �������� �r s�' '������ � �'`Z � �` ���R�� �-� ^�j��. ��`�-�e 5� ��t�����,,w�a� ��� ri ��;''�s ' �: ��� �a�-� <br /> "� }�"s, c�' -f � t : �. �. . �` '� ,� ' � '�' aa <br /> �': �r r3`'�'�':R� � � �. � 5 x �. �y�s- ' a,r e "� -.�- x; t z s ��t�F>a �� `��'i �` y:, 7 x �:�.,�f�" '�' -�'�' �: <br /> �- y a� � x � �r - � < � � ro'c 2� � '+;,��'.,.t r�. <br /> �.��� .s`� �§ � �A� ,� -3� r„��: 5: 'w,� s� � `"zS a -Y'� ' h � • � .� # �^�-x�§�€ �,� -�,� � � �"�_ <br /> S <br /> ,�Y���� � � �;.,. � �: c � �. t �. k � � :; .� '..� K.� � � �� �fi5�'*'�' ��- ;� �- .� � � 3 <br /> �4'��i`� I _ #,�. ; r �. � ,c;<t� � ,� � ��-. �`y r ��� ^;� � :� =.Y,� r <br /> � �. ..c i . ti P �� . � S .5, .., � H '� � '� x� ° q ,�9 �'".Yt'z � . �. <br /> �,� T �. � . �`'�' - j .4 ' ,` ,F�e °�*��� 'a +n.-. f,�< <br /> � 1 � <br /> �,� -� �' � ,� �'� : �� y ,� � �y � �� �.r �n ,.: „�,i� y '`.. vii `��s r � .: fiy <br /> �� � ry ..�- '� _ l j . f � . Y l�� Y <br /> � A l . .ry.S � . Yt s.. k� � ,' nk � $' �° � 4'3' j.� � ; <br /> '� J � .� �� . � <br /> �1 .;a i s �"? �. a� �Y'�X 3; n.r., t�'v � `y,�.: z4" s.< �FS �.`4«S s *�,1 ; zw"� �t �+ ii. ,�g ?4�k.: <br /> �{u k ti '++�"�t r 5 K �.� ra,` a _�. f.. t 'Sa�. x;' 3 �' '� e �, .r <br /> - 't � `{ , a s.� n 4 *'�.' .9x ° $ ��.�,�.'.�. <br /> � � � � ' .�S �' w - ¢ � ��-' z ^4 n 3r� �ix s7x, �' ��:c 5 r i�r��'t' <br /> `a >� s' +" ` y. '� ' _ v;•s '' '� `"� �"' <br /> f � � k � r � <br /> x - a" { .�'�Y f �7� <br /> � �� tl�r� ' '" Y' � <br /> ; i � ., � ..>, <br /> r " i 'a'^ �, b f `,��K�� �,d,�'.+4 t d" <br /> <f� q � � <br /> �8. `' � ,i r'A x w:yr,a e �,,,'� <br /> 4t ✓` t �.'� r ,�� ���t �_ �; ��;� ���� �•-' <br /> tiY`a M`� - yr-,�,_�',� � ti � .+?� Z`.,"� �?.a��'4 !ak r�- <br /> ��� .� �', �� Y� <br /> 'IS �V ,j <br />