� �7 . ��i"'�'-e ,y' 3s k" ''�" � ,t
<br /> Cj��., i��".� �� �e�������,L y •�.�4
<br /> f a�` �4' 'M iyje� ��i-�Y�� �9'h'4e.
<br /> _ R� � � � �� ' � ��:
<br /> #
<br /> � ��f ���� �E.� ��.` �� ��.. � �
<br /> ' ". - .. � N� �� .
<br /> ...,�,.�.,- . . .�.:�.,.�. .:�'...�... ,....,. - _._s�. ..< ...;. . -. .. .;... . . ��.,�,. ... - " , - . _. . ..
<br /> .. .. ...,. . . .... ... "'� .. �9-0'�.���� �=�`� ._ . .. . . .... . .
<br /> PERMIT FEE CALCULATION
<br /> 1. 1.25% of Contract Price* or Minimum Fee ($35 �00� �;,
<br /> -�"����j A x .0125 $ ��,�
<br /> (contract price)
<br /> 2. State Surcharge. ** Add the State Building Code Division
<br /> Surcharge to each permit. ��.���� x .0005 $ �r ��
<br /> (contract price)
<br /> ' or $.50, whichever is greater
<br /> 3. Postage and Handlin� (Only mail-in applications) $_ �-
<br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ .�� Q /�
<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 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 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 /> ' � � � '
<br /> Applicant s Signature: �- '� Date: �`�'��O `� �
<br /> 3
<br /> �
<br /> �
<br /> �
<br /> �
<br /> �� ;. ��
<br /> rz.: ,rt. . .
<br /> .Y
<br /> �'4..
<br /> x�. �. +�' Y.���
<br /> . . •. : �;� ,«�a ;�:, , . •.. . ." .
<br /> � �i�
<br /> �h
<br /> �
<br /> 4
<br /> 'iI"��"k � �S' -
<br /> v �.
<br /> ,
<br /> , x
<br /> . . ... ' K5 4 .� . .y.�
<br /> ,� ..� . �8� . e�`� �`� � �. . �� ,�-Se:.
<br /> . " . . � � �hi( . t��k
<br /> V At y �
<br /> � � � � S Y �3� h }� f; �g`�y .
<br /> k .� �'`�"�y�,Y
<br /> i :.r � �� ` �� x�i�,�,�'ys� �y�"x5��F� �,�i��g. � ��'.�'.,y��`,.. .w. �.,.
<br /> ''7='. n t ��s�. �2 :,� a��``�5'y� �` .hr t�
<br /> � �
<br /> �,` x�;st +����<< � �'�~ �� � f,���
<br /> s '� �
<br /> :� , `.`& �`���� � • ���
<br /> =� � ,� r�� .
<br /> . ,� �. �.:� . . #�. . �.� ��.�����~w
<br />
|