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� �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 />