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��, n r � q_,y' �_.. � s# �, .,.,i � a i�'4`'� 6-.�r � r a.^� s.,}� * t�.. �w �s` �4„�,� � �-.� a <br /> `�"�'�,�:✓�:�''�—�'9'-���,� r -.� �ax�. � ,,,i�`�'4�i' v'�-i �� `�6 .� .: +�4��� v�w���..� ` -; � `�-;,;7� 3`"`��y.''r 3R <br /> ��. tx � �c �'r .�, n$ �., ;.- ? " ��* �:�t .J., -s� 5i ,�,���.., ,� �ei, ��„�j, f � c�:, <br /> �. Sfr,r�,�'R''��"lQ:.,� �.�� '-s q t a � r -� s�'9 a� "' 4 Y�1f � ��"���'��"+F i. e �- 3l �s'�.,� ;'�, 4- ,�'"��R,'� � S,,-`. +,u�..�-y <br /> �, �� ..1 ,,, �., � f, z., ,� r �� e _ '��`� 't'� w . �'s � �'�'� '",� �.. ��� <br /> a > � � "�, �{... � � �r � <br /> �'8`"s�s�f��;a"r'�.s".`}� ..;:.�.E��:±�h��Y"�.. �.:n�,�:�,�,-3'1 �€t... � , . ;u�=,�"�� ,'� ,�'..1^.�s�?m�c:,�.��.'h�`�"s�'§'��:.$'✓��;�'..'s."�s���x7:i:,...._ ..'�.'�' "�� <br /> � <br /> , <br /> . ,_ _ �.: �� _'.' -'. ; <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> �(%� �� x .0125 $ <br /> (contract price) <br /> 2. State Surchar� ** Add the State Building Code Division <br /> Surcharge to each permit. x .0005 $ <br /> (contract price) <br /> or $.50, whichever is greater <br /> �' 3. Posta�e and HandlinQ (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 chazged for the permitted <br /> work including materials, labor, profit, and other fized costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation aze 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 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 Pemut, 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 /> �� �y _ , <br /> � �" � � <br /> Applicant's Signature: � � '�������'�, `�- Date: � � � <br /> �..,.: _ <br /> _. . _, .. � . <br /> _ . _ _ ; _� �. _ �.. _ , . <br /> , . , . � , <br /> - � � <br /> Y, <br /> . <br /> -� . <br /> f - � <br /> � <br /> ..� <br /> ,�,.� - <br /> . w . , <br /> . . � : � � . � <br /> . y : `_ , _, �; :. <br /> . �.. <br /> , a F,.r . .� � ,. : ��:: � � <br /> ���a. .. . } .: <br /> . F� , . <br /> � - <br /> : . <br /> . � � . <br /> � .�.y�.` r.;� . . �j.. �. .... ., ..H ` � :T <br /> �� YF t.. 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