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� <br /> a <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> p �; �,�C� x .0125 $ <br /> —� <br /> (contract price) <br /> "� 2. State Surcharge. ** 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 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 /> i 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 /> � <br /> ��� Applicant's Signature: ' � c:��' Date: �-/�'—�� <br /> . y <br /> s . }. ;, .r <br /> . <br /> : , <br /> . �y . , <br /> ; .� <br /> . �s' -�� k� ; ' l "* � � .. ��i�K� � <br /> . S f,d_'"y � � <br /> {e � �� `��'�h� � � � ' <br /> 5�.:�n. i � �tk';� i _ "� F� .V � ���_.. µ �� �` <br /> � '�� AH�- �: <br /> � v ��y��3°�a ,�,},,,� � _ � '.�, <br /> � a *5�a: �a'� ,� � , z� < : ss""��'�`y'''" ,y� .�.� � ;�''L � � ': <br /> x �Y �"��42 rlr,` :�.� •..^� ��`/���9'�A�y..f�.i�y�� �� + hil����1�+,�'. �., ���� �� <br /> � 5 <br /> Y <br /> c�+k� Y �'_"' r� � �""�� �`�- � � t�� , '���> �Y '!" _ * �:;� �ty1^,';��i � ��'���' .� . �.: <br /> .x :�u a a i �; g �.�i� �� �. �.. � � '""`-=f �' ,s,•:a� 4 � '�' ..0 _ , �'a:t :..� �'' � `4�-tk r �3'x: � r� � ' <br /> �s�,� ��.��' s�. r�v r+��y�, y,�r�' 'v:�'>�� 4r-' �� ty r� k r.k; r �' �� � �" � : 4 �, y;'x'�e.�, � °, d,�"�:�r.,� <br /> � nt s�t .��S'`��`' �'" �r.�+'�� s� u t '�} t 1 � .� � , e£��+#x.4 �w ,.�':,.'K�i� <br /> �� � �,a �r`�+� . '�� # r M.t � ; - �, '�.� � �.�t,'�.e.k H' a9,� � 'c f�3. <br /> ,� : �� ��.. � �� _,�. .a;"x�§ ��`� a t ,� a � tt ��.° �'�,�"�r� t ` �� �+ <br /> `�,� �s��' ���`� a `�*N��� `�`n�, fi����'" �'�.3'r� i x5rw�'n�� � ' 1� �.' a r � <br /> s,`�, �.f i .. g r _ ��''-,�,�� . : <br /> Y� 3 � +i .. .a 7 , ,a ����`�'�`�'`B .r��P��-'�'t'c �'s a � +N ' 4 <br /> � � �;�w,Y� k�,4�t ;w r.�s„,��y �, s ��+�,r,��y �1.-� �,� i �+ S�� . � �i'�,`�SA �- ���.��','� ��y�,�`�,�. <br /> �, 4�:... �¢ �i�� ^'-*,.�ti`fy��, '.���#�e.���y�,� . r� �:��. 5d� '�{��"k'a ' � �,s.:v ���<:�'r� �e, � ,F?'FY� M1 �..�,".�+ �" $'. <br /> �y"#S"�,,_ -¢� "A f �.��:t,�',: � &�"�'y,�'wv �'€r � �& � ��� tF� "��. �$ ��,M �.q�+ �' n�`-1,��« -* x����" �. <br /> ��' ` •, r:.� t a � r 'r ' � +��i�'k ��. #� �,~ <br /> � . �J��'�r r ���c� �" 3 a�fi �.' n ��, . .. x>�' L5�'���+� A � },� <br /> b�' ��'; �''� �4��,y±� ��;+ 4. .,'�,;`��+�'�,� �; - ��;�� a w i?�� ����f$�� 'i�` .*����'��`�*_ +r�w€�. <br /> . °'� <br /> �.�'�#f> 1,rt'e�-.4zwa ��,6's�.' , '�"�t'� ��,$�,.'" :d 1 n.*,�'r'�'�.G i� i -.s, .a s�^£t '.�„1�'sl�+�,^�c-_ "Y�"� � � .C'�;:. .ty.�, <br /> S �:,, '�, f ;� s� ,.,�,Y s� �.� ,,��%}.!r` �..l �t,,�tr r�,'i� : <br /> $ [:rv.� c,: �.}y s� 9���..�'�£. �� 5 � F� � .q-�'t;.`�*w�� ;� 7t ' <br /> .,_ �,.�� r.x.. ���`' ssr'� tYsi ,Z�'}'` 4s�f�r���'�" �'�+"L�.r "��i "�$..� � C4�� £��. t. _ � <br /> ,�,r, �".��. � +� �" ��. 2` S"�K sx n...,�,'�` '� ',�c� �� a <br /> 'd ;�l :4 y,�..��� a stYS�4,�Q�jd„� �e � ,�a x'"`� �.,t n �r�d s ,sSa� ,� � �� <br /> '���. �, �' � ��, '� *`�� �s,� -, s��p � <br /> �fC � �,.;5--:; '3�s .�,� !x`�:a . ^u',5 1�`,, »at���`` k��, n +� � r. '�a' �i=� �'x+s <br /> ,f�x� � �s�;; a.� "��^,r .�" h :�",�'��^'s�+s�34 �,F�.��y �'F� i ��.� �r�v� ,"�,`��i`.�r�t ��6' ,��.t �. � � y'�i A,-� �. <br /> !v 1"�$�:' t'�N � �'m��,y�� �:k r�.���. � .'�+�,�r � - 5 �, �.r { i. s,Y „�� ',�"�'a�S�$2p��A <br /> ..._ .....�'r"�c.*r.`m,�_.,.,ee .. 5,�..� y� . .,.�' �� .. . s;k�, .�"`.,._, . s�kt.<�` . .. ;x'�1.`... �"^�' v� ,_. ,'� . ,�'.'���Yt' 'z""'r 2,.. ;� ... ���'e�' ,, . .. ._� <br /> '��^�, <br />