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�� �`�� t�S"`��� ��9c� � i .��, ,n n; # �— :� � �_ � <br /> �`"�� x �r "�..���� �` <br /> .,a¢� '�Y'� r�t;a����'�. s 9".i �..xn.�"'i '*�, . ' w <br /> � �'� � -��; ��'� �c �� � `'���z� � � 4a'`� �`� {� A ' � t <br /> ; <br /> . <br /> . , � . '� � �' .., w��.v�a'.�. TM'� - �Jm�_i� .��'��?` �rs <br /> , <br /> , <br /> . <br /> ' r " <br /> ._�:�� .�.� � yt <br /> ,_ =, <br /> _' . . ..- �,:. . . � <br /> .��,. , ._ .,. _. ...- ._ . .. �.,_. ., .. ".' . . . . , - ... �.� , , .,. . . <br /> .. <br /> � <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 Surchar� ** 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) $ <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 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the Ci�y may request the submission of a signed copy of the actual contract. <br /> � <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 Jnspectional 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's Signature: �' Date: S� <br /> � <br /> � <br /> ��,. <br /> ,°�;. - <br /> �: <br /> s� - <br /> �: . <br /> �'_ <br /> � . ,. <br /> _. . �� � . _. _ . .. _ . <br /> � . _ , . m .. �.�,� ..._ .�. .. �_. <br /> ., .. _. , . � , ._.. <br /> ....�, .. <br /> �:;- <br /> �, <br /> �„��. ;�� <br /> _ # _ �=� ���s <br /> .� <br /> =� ;,.. Y .�, . � <br /> �� - .� � <br /> �- _, w P� 9��- � ;, ��� �- � � . � <br /> .Y �- 3+9 t* a`5, <br /> � � �c ��� ����t,s� � � � . _ d . Y ` <br /> p�. k� � _� . §• <br /> "'��` s� � 3 �,�'t� a� � �� ��"'��:s,u^cf`� ��t'�� ?"��- � r�� -a` � �;��� ��� �,c t �E <br /> f'y��. �. '�� � �'� h ��A"'��� w"� �°,�� '°.�m�� �w;£ �4r���f`'�� � *u , t ���w +�,.�<. <br /> �' ,{ ') <br /> '� o�.� `�Y *-7 r� `�+ Y ��f � ,r-,-+,�, �'�'�y�� ��f�"��a.- �' �:,.� �� a��� .. c ���`y�,. <br /> �,,r F � ��'r�,y, ���+�„�.�-����`�,�s � 32 � f���„�'���. � M <br /> �� �,����~ �,�. ��� ,:s< 5ai�+ �,,,z'�k���� �k.�'.+�� �;,����wy �`"' <br /> '" �, a r,� � �q�, - �{d �� -+a��.zA�.�.;�s . � si���� � , <br /> T <br /> �^* ,... r �``r'�k i"� �x�a�"�� � � � �^'�� � � �y �� :q�-a�s�'+°��r�: . :�, <br /> '�,� � �±� � �_ �fi��i��`� � Fr ,,„�,�y,.��a.p a�, � ��,` �c� s <br /> #��s £''�F��, `�; � - �•=�'� r` -r� r�ts"�b�� �� p`^�a�`".c�a''c�.� '�'' <br /> t� ;• �; ?- .� +'S,�Y:'��.��� ,�c��1"� �`,. .��� ,:y �:, . x: <br /> , e.. <br /> . _ �,� " '° �� � g� t ��� . <br /> �� ��;n , ��;�� �z�. �� i���:�,.�� ,,���.��.��,.�'��.�r,,.��" . ���>��•:. �r,��.,�� ...., 4 �xr�. � �. :�n,��,� � '���..�:,�.� , <br /> n "� "; <br /> �_,w .. . .. . . <br />