� .
<br /> �.
<br /> �
<br /> PERMIT FEE CALCULATION
<br /> �`; 1. 1.25% of Contract Price* or Minimum Fee ($35.001
<br /> l/, �.s-o � x .0125 $ ��� '��
<br /> (contract price)
<br /> 2. State Surcharge. ** Add the State Building Code Division
<br /> Surchar e to each ermit. S
<br /> �i g P //, � �v `y° x .0005 $ �7
<br /> (contract price)
<br /> or $.50, whichever is greater
<br /> 3. Postage and Handlin� (Only mail-in applications) $
<br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ S'�s` 3
<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 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 Ci[y may request the submission of a signed copy of the actual contract.
<br /> ** The 3TATE 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 /> j 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: Date:
<br /> :� _� ° *
<br /> � �� :�,.
<br /> ���
<br /> �{'
<br /> ��,. � �
<br /> .
<br /> �.���.
<br /> �' �"�• '.�,`��; "A`< �"���'� �� �
<br /> ���� ��, �� `��� � �,,�s, � �` _ '
<br /> � � � �.
<br /> �� � ��� ��� � � �
<br /> � �' �r ����
<br /> ��
<br /> � t °�""`'�,r#} �- $�a'� a,�•�->��" '��`w�'��S�' �'€�' s'�+�k�„'�"`s fi���.�,�a�� ;",r . � �- h� ` � .�-#,.
<br /> ��� � �t� �;��� :
<br /> , �. � . n r -� ` � t�'ro ,�.. .
<br /> ' _ �' . ��#,� � ��-�} ,d *r`i `x' fa .�'^ �� ��'3�'.`�'*''�s�'�s� ���.��� � }� �' � � aw'� - �+' a�''r�*'c�'g�tif�r
<br /> �.��'' � *.na�z.� �w .. �'� ,*.,, ��� .5 f � sz �'� � +'Y� �.�z- �a :s. '°� 's�`� "s''a, ,� '�`; . >
<br /> .�<,�`',�'����_'g���`�',�-�''� -���,F"�� �h �� ��� <�,�.�� -€��a ��,,d���� �';.����+�v�+�""�� '��''#a-3� ' ���`"sr - a� as�s ,.
<br /> � �e� �., � ro 'r x.., � � '�'� "���s� €�'"��,���� csk��z� ��� �a � �
<br /> c, '' �#
<br /> a�py+X''�*'�t«.�-`-� � � �� . , � �. � �.,, � '��r.,r. `�sF'a�`' �b ��#_.�=��
<br /> �`- ��.��-���� �,''�_ ��� ..�: � ��x'���t s �"?rt�a�`r�'�"` �`��"�2� �- �� ��-u��s �`�� �� -�
<br /> '£�-�'.�r,..�c.�k.�i - * .� �;�` � �--'�:s���.� � '� - � �.-�'z""4`�x'.. .-� }
<br /> &t +'�� '� a, " `k. :t �' �s„�r p� t 'S^ a x : � �r f �` '� a �� �-��
<br /> t ,.� '� '��, ^+� "r: xs. �,, r "s£.�+.��x�r z ��L_ �€ '"�= r sz� s �$�„ .� .� sw-�� �
<br /> .'Tx'`"� a , �+6i� �h+ � 2 ��',��A�.w ��. ,�r'a.'^n,"�`�«�'^�s�."'i�"E`i'��.a`a�� -f,�'�7�- ��',�"��t.�4 ��°�a 4 .,�a '"$ : �.:..�,.
<br /> + ;
<br /> � �.���'��„'"-w�#p:.4a� .� �; � , . �i,`�'�3s� z�: a s�' '�'�� F�`�k�-''�`�'•t��cia r.�.� a,c�r� ��°t�+�,x r;;d s ��€ca "+�:x .
<br /> _�.��`���'� �.t�+�''� ��`" a "a .�- t � `i';�„�� a�1 a,,,;-y °�,*3. g;a.�5 fi��� �*r��"`�`:''�'� `�r,,�-��>�i�� ,��e�; �,. �. �'�°��
<br /> . � �. " �. .Y � - : �,,,�' �. :.���, :- �-_: ,:,�' a r ;:�_ .a�'>:. -; a? � -
<br /> �y������ ��� pi� � �" '��f x�,,-� �,, t`�b t r ,� � �` axt,� �.q . `�' . � ���s,�.'4s a , r-�.�-�
<br /> �� �`� � 2 !
<br /> _ , n�...,. ,� ..,?,. .,... .. . .�.,,. %,� .r � i�n��1-'�'.� . .-���. . ,c #�. F `�.,..,�q._.•��".�,=� . .... ...� ,':?�-��Se . ���"'. ..�`u�.''� -�..a.. .. .. Y ._ e
<br />
|