pERMIT I'EE CALCULATION -
<br /> 1. 1.25% of Contract Price* or Minunum Fee ($35.Q0)
<br /> � � � x .0125 $ � ����_
<br /> -�-��---
<br /> (contract price)
<br /> 2. State Surchar�e. ** Add the State Buildin� Code Division
<br /> urchar e to each ermit. '�j � ; � x .0005 $ � o � � -
<br /> S g P
<br /> (contract price)
<br /> or $.50, whichever is greater
<br /> 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 _ _
<br /> 4. TOTAL PERNIIT FEE � (Add lines 1-3 above) $ � � �� �
<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 fued costs. It is the amount to be charged to the
<br /> custamer for the work done. If any material, equipment, labor,or installation aze furnished by che 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 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 $1,000,000 call the Department of Jnspectional Services for the price.
<br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
<br /> work in strict accordance with the ordinances of the City and the regulations of the State of
<br /> Minnesota, and certifies that all statements made on this application are complete, true and
<br /> conect.
<br /> icant's Si nature: ��
<br /> (,� `' Date: r� C��
<br /> Appl g
<br /> ,
<br /> � ��
<br /> . ��1. � �Q i�� � �( M. '4'• ����S�e
<br /> * ��x . �,�r 4� �, +. �'�°�.rvS � ?-v �q� '�, iw� t�{�. : f „_��",��
<br /> . . x 5��� c'. • �*tk
<br /> �` k � '��' �' t� '� � � +�;� ; �k�. �' '� �� �
<br /> � � � �':. r,y,� r;t. : � ._�'��.+"".: �,�,' ° g"`�"r"�"-`4 "''�s � ,'��.. a`�{*�--
<br /> � '� ''�: k a -,* �.e� ,�'`ya1"' .s$��� ��3��Y,�s�.� ���.���Y , , f°.� :t' .;.��'�;
<br /> ,� q .�f'.�`�'� _..� �, +�� a k -.�� ,�t5. � ���"' ��,��.
<br /> �,��
<br /> � Y
<br /> �n � ;�„k� �.��� ,t.,9�� a �r �1 � �°�- xt'4 '�' ���K}S�i.� � . '� :zo,� :
<br /> y� € "C, �-� fi t �� Y �+'�a� " �� r�r ��„�, r'r�i �,
<br /> ,«.�r . ax,: s �t� � ,.. � ,a �r e a'
<br /> '� '�,;�e V� :� �,�,��'�,'��� � � M��,�w�� �;'ry� �� t�� ,�a�.wr,t ,� �� i �. �c.a
<br /> � � ''�+e ,'r '��r �u ��p�k rx. S � r A=p,��a�sF � .., �'s5�: {•i�'�+a�.�,F �,�� ';'��'�;
<br /> � �`�� � ��� w�'�, `"'.�>t���1 ��'� 't��'�` a. £ . ,h.,c ,�. ,�p��� �� F. q ;
<br /> ��C1' K y��'r.� s-� �� a-e 'k._ � �� y�R .
<br /> ° M .� ` �� ski'- � �'�� t,� � ���* � �£ 'r' "�v�+:�p" �, ,
<br /> �k ��i �r �� ,� �� �° Yr."� ta � K ,n-�t�s4a��s �'A �, ,
<br /> � k 9�.�, � ��r� ,�� r .r��,,. F `s`t,�',,�'",-.�`�-�"'i.�� � r���t? �.
<br /> �:6.1 ���� �, b l
<br /> � s� �a�,�� ,��;� � ^r ^+ `��`� ' �, r�����.a �r ,, y ,+ z 5 � `� 5°
<br /> '� . , ,��{ �a 4 y'^ v.° r � �.`,t
<br /> N'� i'� . � � F
<br /> �i'� ` �� �� ��'�� � �. � �
<br /> ��``� '�'�", -� � '�,'' �; ,� � �"' p '�;� „ ,�;Z�.
<br /> � .� ��, � �^'� ��i '�, i'�r „�Mr`%� �j-3g,� �� ���F��" � ��`��,�''y� 14
<br /> ,
<br /> .
<br /> � '� F4 ��,r �. :�` ..��� ..��t �� .3�. ° �,;. �
<br /> 3 � ,K w' '� a�y1?:y � �.+ii� �`' � �..� ;�„�4,�. _ .
<br /> , . :
<br /> , � _
<br /> , � t e, .
<br /> � "�'�.'�'c�?' 'a ,'�.§��f;��x �',y _ �'.Y. � ,.n�•
<br /> ,
<br /> 4
<br /> „ . .. .;_ .. .
<br /> _ .. ..- _� . . .. , v�_x.�ea w �>' ..^s: :. ... , . �,'�t . .-._�s�_ .��d tCa��.:, � .,..� .. : .Fas_.; . . :
<br />
|