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- ".�':��ia�'�� °'� Y�"?r�§�. a `�. ` r:. r'gr S. �,asa.�t l.�--,w '�t'8. `. � ', V''�.` .'ra.gq�" �y r..c4��' e-�'� �.,r �'; �a' 7�`-� -_��,�"�--�^s`"�-"�'.'�M�. <br /> r�,�r*'�. �hs '��.� � sN s5�-" �"����w � ��3yq�w� gn d± _ �.,�" ' .� ,n � � � � . <br /> ���������J ����a13�'�S� ��,�y� �E�. .�w+ �k���`��`��� cr"P '?-'«r��� �'X��r'� ;��` s�,� :'y�' t�2�ro;"� i3 � �����:# { ��� <br /> ,�,�s��..�s��y "N�a�`h�'C�-�`.�� .m�� _ _ `k�'� _ �.A#�� ... . �+��r`�.i���,.�� r.��. . . <br /> -s. �.... +*.t,�.t P <br /> PERMIT FEE CALCULATION <br /> ' 1. 1.25% of Contract Price* or Minimum Fee ($35.00) <br /> � � x .0125 $ 3a�. 1�� <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. Posta�e and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) � ��'�1.� <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 /> customer for the wori:done. Ii any material, equipment, labor,or installation are fi;rnished by the owuer, <br /> tenant or any other��Tty the reasQnable mazket value of such items �iust �ie aciued to the estimated 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 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 /> �x The undersigned hereby apglies 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 /> A licant's Si nature: �i4� , Date: `�'"��"�/ <br /> PP g <br /> � <br /> ,.;;: . ...._. .,.�, �:. . .,... . _ _ <br /> ,._� . . .-� t_.�,._ __.�. � .�,n,�x...��. .r_ :: <br /> � .. � ,.__ ,. _�� <br /> � „ _ ,.._.. ,. . _,n . __ ,�. _ ....� . .. ,. . ..,, . ._ � <br /> �' , <br /> � �� <br /> _. ..,. s . �� � �. � ��,� . � - _ <br /> , . <br /> , � , <br /> � �� � ,�� <br /> � � , � <br /> 'tl� '� �� � , ' ��,�� � <br /> t�� � ;� �� � #� � ;, �,�� � �'���.,��,��� � <br /> � (" 't ��3nt`� :�3y� �, . '� `'3`'� �}E'�� �y 4 'i" �. �. <br /> .r. � ,,� "� '�''.ay�,,,y�� y��� ��ss�� � k `'^ � �� .� ��..6 -., � ���.. �,�. � � . <br /> _ ��� �� „��� 3 s,�''f§ y�#y�� ..� � ��a a�. .' ,�l'�, ,��� t <br /> . 'h,^�� s� ,sr ie Y a� ��n "���x`"�-'�� � y� ��"?i�-. ;,r�*'r �� x"��' �� > ���,s <br /> ` <br /> ��, ��� �,, �'";��:;��a'��;�x�f������`�„�"��'. ��a� �"�`��,� ;�'� ���,��� 4 �' <br /> . <br /> ., w <br /> �i r , , <br /> ' ���Y3��':T,�'s�k�.-� ,,.�.� `�Y�i'�`"�dff��5tr,..�..*`=�'v��'-��.�s,x:�� '. ." '`�'.`a��fr`?:,, �''-,�`��`q - ,.�':�^� .-���` �-.-.'_. <br /> Sr -: <br />