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t ,�": � �: ; y" .+� ^`'s. s Y` 2?' , v f-�-'`�-.z`7^� r t � , 3".�"&��� .7. ., q +�'v �� <br /> .Tr ,x x _. ; t ; ��.. ; an a�y�'���,�'y,� , c} �-'�.?^7��`'� � ° �� ,'e b ..,.s`N a�'r . d r�,�t � �e,. ' <br /> s <br /> .,i � i .rK�. # `'r ��� � 'f t.} �`�'F ������ .d`���'�+•F`S^r „r z.,g � *1'.�"�'"$�r r �� P$e;P �."��'�b.�a,�tZ�s� <br /> � �e� � � �s... ��g `l�' r+` r2 `4 ��-..j�r" r�"'��`�� � � ��9ti��� 4'��" �i��r .��J. �s�+°, �'''. <br /> w� r�t' � �., a,., �j_��-,� r�:ar...F 3 ��:S �y � .��' d `:a���R :32�,s�p.. . ��r ��°� i �� � S .y v�i ��::�,�� t ` � ;��+ � <br /> ���. . -�.a :�*d'�`"�.�?�.<�'b's.��x�..'��. . . . r. , ;��?4„ vy[ .:;�r„ t' 2 �wr.tCiv.+A�h�::S„��`tx-�a ,.rf��.h �� .,. . ... �� '�-���`�`�. <br /> , . ,v .+� <br /> _ <br /> -a`- -,,,t �+�#1�C ,� " �i?����`- a; -iT's�.�'tmx,��s,,"�� <br /> PERMIT I EE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> �j'Up �' x .0125 $ �.S • <br /> (contract price) <br /> 2. State Surchar�e. ** 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 Handlin� (Only mail-in applications) $ ��" <br /> 4. TOTAL PERMIT FEE � (Add lines 1-3 above) $ '?��� 7..� <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 coscs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation ue 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 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 application are complete, true and <br /> correct. <br /> � <br /> � A licant's Signature� ���c '`�� �s Date:��� z, Z� <br /> PP ` � <br /> �.,i�� <br /> � <br /> _ �� _ _ w�� � h� :� � �».�����. _ <br /> ,..�, ,. .._ <br /> . . . . ry� <br /> . . ,�� . <br /> �� , . r ��� ._ � . <br /> . _ <br /> ��, <br /> �,, <br /> � � � �,��,�.� �v.�^� <br /> �::� ��';�' � v^�:.�' �LL <br /> � <br /> . � . - <br /> �. �. �, �. ,� :'> '��. � y��' � :�, ��� K - <br /> � � i �. - '� ��� `a -�� <br /> �t g <br /> ' . 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