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, <br /> �' <br /> �.. . <br /> �' <br /> PERMIT FEE CAI.CULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) v <br /> x .0125 $ ��, � <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. x .0005 $ . SU <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Posta e 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 chazged 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 pany the reasonable market value of such items rnust 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 Ciry 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 $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this appYication are complete, true and <br /> .� �,,.,, � <br /> conect. - - � � ¢ <br /> � � .� � ti. � A� <br /> �� g�•#s�� " � o�� �� <br /> �_ <br /> � Applicant's Signature: � Date: <br /> � <br /> t <br /> � <br /> � <br /> � � �� � � � � : �. �; � '� <br /> �' xi"`��'��yR.�� ` �l'�3 �'� ��,�� ,'� .,�,�,�,'r,, d .. ;,s , 'd'�"�.t+�.� � .y �� ; <br /> �� ;t �'� �. 5 ..t y � ¥�.��s'� ��,��`- € �°`,`x �"*�, �,a;; x;' a�^�� �; � <br /> x v �'i" � ''Yh. a..' ���h � � � ,.�$- <br /> � � i .��� ����� -k'a�� Y«�� �"+�'����: � +� ��'�� <br /> �:;§t �` ,� qN�r� x �� u' �''� '�, -y . <br /> �� � u � . ��� ,: � a.� � f ��:; �� , t �'�+h. .,�. <br /> a �. � . ��^�t� � +3..w„ � [�� :� a.��i w$ '� ,�y�. <br /> �e �v� iy, 5.15^ �.'x ktrn�t��5 .q=-�s� �.,. �4.�,_` �#k , �H�- �r ;. ��+�-2� i �a�F�*�y��,r,.yf e'� �� ..y,.;�. <br /> "r�y 3�'"� '�� +'"�'.� ° ',`�_'> e�. ��°�,'� ,."'�•�„ �� s�s,� '�x'v ,tr'.`s �`.S` o.rar �.r.s�y.*.<<�"�k ��' yy, *.".'a"�mF�"t t;'i ''';� .:9- <br /> '�;�� ��'' �.: a.,� w r :���� �^'� �A s��;��y�A�` x� ����"` � �r� 7 � "r , <br /> �a�+.., � <br /> '�� x:� :1�� z� ��.� � ��� q�� 'R . �y ^q,� ,�,.< �. � �s����r�� .�" A`� r .rr• <br /> � .ir [. �. •..s �.TM���a ,e'�v ziGy�.&^x,�,�r�'i� e3 ���L` �,;y � �`�,� �.� ��i1���; <br /> �e� 8 -tl�.' �+ w-�:.,� -R` �', ',� 6� ,�',T3 �'�', # 7• <br /> . <br /> , � �-a. ,>� . :,. . <br /> �. , . . . ,. � � <br /> . <br /> - - - `'�,y 'r�Yi. 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