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, <br /> �.. � � - .. „E- . ._ <br /> ,,.v , �:Y:a�. � � � <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. 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 FE� (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, proft, 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 mazket 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 $1,000,000 call the Department of Jnspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plurnbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> � — <br /> Applicant's Signature: Date: lv�� � <br /> _ _ <br /> , . u , <br /> , ,. ,� : ; .,, . , � _ <br /> _ #3., <br /> � 5 #- 3 � � :� �i ,% ' " <br /> �'. � � � � �.. #� <br /> �,1 ��`)�.-�� "� �`��i �:� �„� §��, '� s �,. <br /> r� ' "`� f �t'��.���� �} �� &.`�l..�"'�;.�r ;r�,�.��fr �� x � �k���4: �� . � . <br /> �" � ' ���.�� �����'�'���4 f - �$i�F°.�'r�r t�A`� � � � �. <br /> r:' Y� .i2 t d � ��S � � �d":< '� ''r A" "i�� . P <br /> "4. <br /> ;.^p. *:N '. ��x."?rt�.�' '�a'�..�£ -��y�� ��+� �, � t:hix �R�(�e. d�.' S` :,t�G� � '��'�y��,�,s�,£ �-Lt'.- <br /> � �-� .y�"' ������ �%_� _.� �"� ��. <br /> '"�'� u. x, �"`Y t r a��2. �ky�'4�� k�� �* �„ d., � � ! <br /> � �°'� ' : �'�..� '�t.� ,�"$"„�y `���r,�,�;a�,��a�� tt���t �`� .� ���.ff � �r�''m . ;�, °:�tA �. ry. aw- � � �. <br /> � '���� "�. 3 -r�� 3,� m, Y,7 ��y�° �r„� . <br /> .._ t ���� ��� g�.z�'3�"4.s,�i.�k-�",+��sY'+� i}`a�`.�_ '�'y�`�-i:' z` +' .i4'� �,y�� .,_� '��.. <br /> � <br /> .-�N'^ -� �.`� � : d' +�'txi��,w{t,j� ,."'r�,F'�c�' '.z �s�� Y�,.�;.: ��� �,�� asnv�� �-c� ,k��a��� } e� n <br /> � �� £a � �+� �,,�, ,� a s -� � a. a� '� a �� "a'� �,. � .h{ �:' - <br /> �''�''. `&�:�� rc #."s�` � .+ �.� 5 ��`� ,�r �: � �`�- ',��- `' -'" k rr; °�' ��' t� ' t�.4°- �-3J <br /> -y�;� .`'�*��R � c�;s� i �_< �,} h'�'§'�"�'� ,�s F .��, 5-�r 7�.�.ry'�'��'��� �y'� � r � x i�;�' ��C� . �{�M ��,�.. �.�'� �'a,.X.,. <br /> �3 �r.'{ r,��` -acy,�.iy; �+r+'��y��,�,�.3�,•-., �s .. .9,t� �'� .:��+�*�e��+a��'��''�k="_ v'�'�����d+ �$r��.w, <- #.�v�?�: <br /> :� x x A��.j�,,a�:�s . 5<3`��$'°"'� u�r �� d `3. �%� 't,-� R�`�` �<`�� '.��r�,$�r!Si '` :1�` �;�ss a �� �.� <br /> ^.�, I �.; �'' �"'t� �} g g�p 5.* �'r� Y� 't' wyr�`�c _�4��,,'�`�ac#���° �` .�'�_.� r��'�y�n ;,`� t:'ez'�'�-i,3c„���� l�l�,�r� <br /> ��' �' s� �... •�`'#f`!y��� &nd :,"'.'�3��'"�'t"�� a"S-�+,'.: �'�,M�"'" Fh��,$`�',� .�s,� �;' °�#�:a,x�Rtil,��^' `' <br /> ��.x � �, w ��'� � ���# �.4'at 's.�- w�' ��r�fr :�� X� fi�4 w���, �"�+�y,wa� 1'`-..a `- .�� .�.xt,�,� $,�r' :_ �k �'r'-.. �� ��.•:�� <br /> - �._ �` ,.f. *r ., �. " `" � "` �* t S, k 9 ^ .t-'a x� Y"' rS r � ,. <br /> _: � r 1� "'"��,, �r � ; •�" �',�r o� `�,nt : �� �� �n ���"�t �a aa � �`�` rs« i <br /> Y R-.�`'�' -#� a-� � � ,� �� .- �Y�- a � �`�t r �'';� }t�. w�;f �'�8�`,`��� �.: <br /> o-, t' C� �`a 1. 4 AY� s 4 ��) y � F .�. <br /> _.^'� A£`A. 'm 4r�A �%- �j 4�¢h K3' �_'rt� _1"� �' . �_ -..�ap #'�.3 y,, � � ' •�+�� <br /> y�ks *t:� t. � � .�".G. .�Yr�� f Y •&-�'���G � , } � �c,,'J��� .. '�+-; ,r�`�'f �� 4 .`� . <br /> ...�c d"��s���: �� r �. [ �r� ��✓' ��a�mx 8�a � g .�"ax i�tit�`� � , <br /> � ;'�'�.. �f .`2s¢�^ ?�' �k �-�� _i,,w' �� i k �-` r ��`�3.�`� �5,�*4�ks'"#4a..,�k, '��'4.� -'� ��'-aY7'"' F � � <br /> a .3 � s ;��C�`�e, '*� �? � � �#5y��` r�r r`'-a��%"�� L } e {,�s.+;�� _��_t� 'P�' s�j ��°,"�S, � K� " . <br /> �� � � � '�r r - + }ea a §:� ;s. z F� � x � , �.� s�g,.�- #'�, � � <br /> � �� .q^y. � ._� � - .t 7� �, ? -.a-'�5� .n,.,. .��. s ;�t �r�' .ytca"P i K vv >- � <br /> a, <br /> r4�:.- �.....? -„ . , s.. ._ . . ;. .-'� r' �.. . ` � :.: � ,` >:; , .�. , ,.. . � . . . . . . �„h`...,�g . .:�:ti, . ,.. . <br />