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��'�tv R � <br /> y� � <br /> }r <br /> �� � .s�� "K`� t,�. tY: Y � v'� ers � '�f� 2'` -°� la t <br /> , <br /> �' ��� � <br /> >� ' � � +�� "���.,�� �c� ��"- �, , - ' <br /> " ; <br /> � . : � <br /> „ ` <br /> � <br /> , <br /> " ' _ ��"�'�',��.�`:��'r.�, ^' � , ,� <br /> ,< . <br /> . - <br /> .� <br /> , <br /> 'i• . .,�.- . ._,:� , . . , :u.�:,. �m _..,_ �_ . �.-...... _ :.�: .....�.��,. . , ,,.. .�,. ,:-_� . <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 Surcharge. ** Add the State Building Code Division <br /> • Surcharge to each permit. � 6�,,,�j� x .0005 $ � . �� <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Postage and Handlin� (On1y mail-in applications) $ s�-'.� <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 fixed costs. It is the amount to be charged 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 party the reasonable market value of such items must be added to the estimated cost <br /> or contract price for pernut 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 $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> � � Date: - � -� , <br /> Applicant's Signature�,� ; ,s, � � <br /> .. . <br /> , <br /> � <br /> ;. <br /> � . ��, .w: � ��� . .. <br /> � :. ,�:: � . - . <br /> .� t <br /> . , �� �� � <br /> ,- h, .:. . .� � . ���.: . - ' _,.. ,;. , <br /> ,. . � -, ;q�.. ',., �:a. <br /> �.� <br /> ..� . .. } � ��; �� �r. � <br /> ri�� ����r���'�- y ,�� �j,z�� �, V� s.�Ft_, y'' {�� . ��-�µ.' ,�.. <br /> �it,�. <br /> a 3:Ya, �� y� �f ;�'�w k .� '�`.` <br /> „�R y �m.�s 'TY'�"$ " � ��Y'Y <br /> � �� � ���� x�� �� � <br /> � � � - � �:.,. <br /> '�1 '..� ��� � f ��"�.��.��� ��`����-r �"-� #�e2�.,. ���, . <br /> ds `s �, > ''�k � nt � �. y ..� � ,.;. <br /> '�"`,r:�,�ar� '��.�. .s�����r�.�t����r?7 5��,��.<'�s� ��£'u ��. �� 'C ' '�'�`�"-'''�k'�' ..���`� .. �y��;�' y��� ry �.�li�t.�'�ie <br /> f� <br /> ��.� �a� <br /> ° �� ' ��' '��`,��' � ° -� � � f <br /> � ���� 4,,E. � " L� <br /> __.'a, . - _. .. ,1° ... . �C��.�,5�"�`.�.,.. _ ...,.LS..,.v.�,e �s... .. . . .,. a!' ....#� . $w�+��� 4'�:�.!i.x,R . ... . .. _ .� < . <br />