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�.. r, '� x`:4�. ��L 1�" '�i� `4' d.F�,W� "" �}`. �4�� ?u` �'w � 'S- L. T Y �'��'� a�'fT k � �' xY�.��,yyr <br /> ,�a`��% � y�, " � � h����F' fl�"� �+ +1-.� � �,`�j�+w�F���.w*+� �:�r�.` s�r�h5.�v: t,*""�,n k��C' � a^�j3�� 1C <br /> ��'�e.�.g� .� . �� . ��.. na ,'' „�a °"' s��'s`s�� ��� :K"' �F Y +`. r t',� ���..�" �� . 't t.s �� -='�^' t"�,i'�` ,- �Ti` <br /> ..''Qf� �k `:'�"Y''� .-.`�'�"�';.*�.. �� f a> �'� � �"d �� At3 :°"�"'k s,Y+'��`.�'��.` cxe�.;r ��'f ; 4 ����"�'��...-� 4 ��€�'���"�����;w�'�r,, <br /> ��e,y�j.�+r�, � ,� � ju`` �'NA'� �..� �� �'_=fi '�a �,�� '�n,��e ?�� a 5 �X"ifi'a. �.4 r,FF ? �` �' � � 't"e�*, �, ':y�'' � St��,ti Ll.- <br /> ,� ^i�' ���f^� 3 a� �;,.{ t�' ��s,.. ;e��, .:_:��' �� '�'.+�� i "$+. :s� ";�,r,, :: z� ,. �-�9��x �� ,�„ �: � � ��i�' ,:x"'.�. <br /> ^ `� <br /> . c "�. ,, .. -��� <br /> �g, w.� �. . � , t :C .. �,�1�' �. �.� a� � '� ��� <br /> s , � ; _�-d . � - � 4 fY''S,� , A��t�r'� <br /> �; _ - �� � a� � g ��' �,. �. <br /> . _ _. , .. ..., .., , . ,�^:�i�sr;w. , mr. . :kiai . �`xisa��.�..��;:' �"�.x='�-'�`��.�`��s���v'*,r?'s-e y�.:,�,. .'e�.�. ,�`�Lnc�a,!�Cx�'�r:�'r� . ... - - <br /> PERMIT FEE CAL�ULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.Q0) <br /> �� .��a c� X .oi2s $ 1 � 3•ZS <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. � � �(��.G� x .0005 $ �0 55 <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) $ ` l�v �� <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> CllStO117�T vr IhC�VC:k dor.e. If 3i.j'Ti»t�:l�, equip:r.ent, IwtiJC:,O::.'1S�i.1;2C.CII 2:��1,illS,~.���vy t.�1C�WI'iCi� <br /> tenant or any other party the reasonable market value of such items must be added to the esti�nated 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 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 $1,000,000 call the Department of Tnspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant'sSignature: ��.�,Q�',� c�- U��'�JY�Q/I Date: ��/�'�� <br /> :. :; <br /> , ...r ....�_ � _ _.�.,.� �., �� � <br /> _ .. . �. . .� _ _ �. <br /> . ,X. <br /> , <br /> � , � . . . - _.., .�,. ,. .: ����:r«�-���.x�t s���^�r,r:� �i.��'Y�� <br /> ;�, � - - — - - � ' <br /> _. _ . ����� +y �'�'� S�e� �� �r� ��'�; §-� �* - <br /> � r r� �a t � � <br /> s� � ry ' ;�-„�� ��x,��" a1���,� � �r+�� <br /> � �m = s� <br /> ��_4 a r �� r� .�?� �ro �,�'t s� � -.s-s�e�+ �`§ q�','Ys-'�r� ��i"°� `Y a e �,'z"� t <br /> �'���.5 �+ � £� -��"�,�x t����^d _�axc y��'��''�k `��d� <br /> _ ,,��'+ ' ,-� �"�° �,d a "*s �.. �.4� _;'fi�'�„ �. ,jr¢� �ys-��s ��b; ��'� <br /> ��� � ,,���� ��'«'�A.F�a,a^4'��lw, �P1 4���a E^"`����q,., <br /> ��' h, `.S"a "��3 ,� ,�'''fi`�`�$ t�� p'S '`',x�p!� �� *.�y ,�.r.. ,F?''. <br /> . - t �. � �'��, ��,� . <br /> � .� s� c� ,�' � � u "s`��°,�t§."�e4r�'`� �� � <br /> a'��� �� _ ��� ,� �` sr'���'�a� �k� �'s�tax �4 •��� ,t j�' ���`����a'� `�� ,�'��s <br /> , � k ��� ,s��� <br /> 'g+. 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