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. Postage 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 dollaz 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 aze 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 permit fee purposes. In the event that there is a dispute on ttie 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 /> Applicant's Signature:�' � , �,,� � Date: �? ��°'��
<br /> �
<br /> : �;:.-.
<br /> _ :,.
<br /> �,
<br /> •.;�, t�
<br /> � -` ?�� ���� �� ;.
<br /> t �;,� „��� -� � ;�� � �}
<br /> ;, ' i �
<br /> � 4d
<br /> X E
<br /> �� � � k
<br /> �,���± � ' �,�.fY .. 4 .�� � �� 'RK . .. �' '
<br /> � a���.� �r�. �� �<, � ��-x�'�, s��� , � � �
<br /> ``„R,��, �s;` ,,p�� s. � � ��,���,.� ;� "�+� ��``�.v`���#�" 6�`' a"�� N ��f"� �x��y �` t � , r '§ � �:._
<br /> , �,
<br /> �'`��r'nn'�'e�;' 3+iY�'�'ni�-i ��-�` �< 6 �;;3. ��F�;Fs '&�`,�`�:! 14 s'E^�1`«'3-,,��q� ya.�;:s'� �y� a:; a �.s _ ��' �¢ � 4`_ �.k t �, � � ,w.
<br /> r��Y..r s�c,�,�x 2 �t..�.:�"''� �� t = ti ��� � v�..t ;I'.�R*° q r �, �s�'A� a�f �-4�' � . .��,, .. ,'�~ ����� 4 i�. �-a� ��• .
<br /> ` ,�`��+ �.�� x� `�"�;, r� a�z�'�.v "t�sr�,; `�"'�� s r°�.�u�'��� �'' ;�?'"r��`"�-�.`'� ����"� y.� �..' �' •�r "� ��i `�Z+.� a. "�'�'''
<br /> ����`+ �i r d ��x' 3n�'6� : °i�.�.," �`.�'f` rrti+ y.°at . .,°r# � }�.�^� s.''a3 �.;� �' +r4ts . :_.e..,=S �.�:.� 'Lw� & r a t'�a�r "• , �z,•'«S.g�.�.._: M
<br /> `,� P' � ,tr:�t� k 5:, s 7g. �;r ai s>w � ���'2'm �t � .. 'A�` ,��3� -�r'e '� '".r�. �i �+�t �. 2���'�, a � A+s .E"s ',.ti y� .
<br /> �sx�y�� ai � �;��t 'z.n, �k ty�, s ; ,�, "� `°� / ¥�t���F;.��4.� a a�. ��� �����'.a�q`�:�..,���.°� �
<br /> 1� l �v- ,.�� x A 1 ?'' f �.e.�,,F�iP�r �`�.ay,". � k ^��'
<br /> �n� M'xi�� 4 2 '.E � k a .�d'',K {. ' 4 m k ��`�� K"�_�y� "^� �j�'� �p"°�.,'�"���... s.J
<br /> # 5�,. � C s ,;..; s '� r 5s.y� a�,,�` t '�'��'-d �"�,x s °� 8 �t a� t Y F`;'�s �;�'-�'i` "c +� �'t`-�v,ry *i+w�,.
<br /> rr'.4e�10.: # t a>. 1 a. .. '& Yi t �' � ',-e � : k �'3 � � WS 3.+F. ;':. }P a�i ,
<br /> 1 r^J 4 } y k $ '�F "ii ,.(. �s �.��p� S .s, c, i:,� . ( �f 5� 4x t � P ,���'�,: .u. �� ., a "1
<br /> 4.y����1.�Y'�ia+? u.�,•M1�E �4��q T �,t?!ma��" '� ,.,ys '?.:'K hf #, y +..��t�.W'7` l y;.� a"� `, "z'g �'�� !��?k`'���� �;,i`�y ','�a �"i }�,c¢?.�-:4�?` 'h R ,,'�``f-f-F+� .?,<�� ;�',;..:F°',p�t
<br /> ��1 .-� 4.�� � x N e'i+t �k �r�"� ���.f °�f S���.� <�'r:; � a,�t;•?. } �''H. � � �� 5� q'�"G ,� r �.�s, st+, ,+tE-�.4 .5..: ,
<br /> ,� t x :�. ,. Y' ��# �.� � ��. `���' ��, ''�'�- e _� �"..�� s�'•�F '���,��k
<br /> ,�.,.: +,i ti!�,^s+.��, .'�,wr :��e,� w� A��f y�� '�"�'r "3 g����C��� .fiw'��'� ';,:��� ��a�t� ���� : �^. g l�s,<<�'� `��� •��.����e7`�.
<br /> � zr�s'atr «e ,;�, "'*.. �, p�'4�.1� �''� "�ad f;:., i.s..r* �� ,� ' vrEy. �''�'-,�'�*y�,.�,�,^r.v �^ ��`�r �„�.� ",s:�.� - �*.: X. ,�}
<br /> ,it }:" � '� T�" '� b..�n Y :="'.a ... � k'� �.t s �, �:t"' � �t�r ^dz. � � a.1- a'o5`�q ��'- , �r�.
<br /> ?k r ��' � �ti ,�h�k'�s,: .3�,.F` �,_ 1 t�,v kr� *:t p,�- ���a�`��pr�-;�,� �+#4"�'� �'� {���'r�F-+��,.�',"F �az� _�R ��"p 9,.>^v+�t�K �,"7�h��* x r��r
<br /> � W>�'r� x�`:. �::>�'v ���'a ��," �'#�`.� ,�z L.�,�,r "�'X ' �f �.�#. e� � t, :;,&'� - p ��!'h"� .4�.,��r,c"r; .w'.+4�
<br /> ���" Y�� _� s � �i y,� '�, "h+� ;§ �-' +��. �}� � *4. � ' y,tn � �.��
<br /> i y :s v rt .t�, 6' e v"a "\,y,1 $ '' �� z.., � ¢ . �* 1 '�"'Ma� k
<br /> ��F�w„�,����.•p t,��£:�� -� <' F .�: �#�r^',r„, '� u��,��sa�,��v�� r ���-•�. �; .�F ���?�µ��u,3q �;�spr`'�z � �,� a�5a �� �,�'a'�.^�..{ .
<br /> �4e. d r,�::s�r K- `4 � 7 t.... a €i „? e . c�.'�`'5`.�"v� '��,t e.'�.ta�a:'��� },.a° a a���� �`T°.,�.�,��'�^�'#�r��` ,�' t� � i �����':
<br /> g�,a�p,,'� �,- t ' 4 � �_ n.a � � t 'fy�.� s� �ad. '�� �i ��� y, ��w a" � �r; �%ti� - .� ,�•o ��+P�',���� �
<br /> ,�,�L.?� y ��,.�sti .:Er ' � ,T � `•,a�` ��"r,��;N�k`�..:..�.�"���'- i ��t��r+,� � S��t"�. �j�-a`-��+�'*tx£��� '� £ � �:���'� �'� ��ifi.:p'�r.�"�i�',�r*��LT.a� ';a „��
<br /> �;�r S 3 � �� �.i � ^ � t M1g �^,��'��,kk,,, s 4. x '� i� r t�'�.a 7 c'�= � s F�y' � °�� t"�t , '
<br /> c � �s`� : �„� .n � n a�:..� � �i :.��� k>„" a`�:'*� F, .r. t§� �.a �i`�k t� ��'*�`�.. '�''_ '+�
<br /> � �'��t�'+-+� n�::� 'u-s �'.� Cr �'��'_:<a �'S��':'a� �,._. +�€�� t�, ��r<. � - "�'*� � �.�.:
<br /> ��, �"dir��;���'`�tk,�.� ''�F' * �.�,��"`s���.N'��� 8s..,-� q �,�.'a��`�`.4-'�� �` .�°v`"`� �'��, ti"��k. � )'�:,h� !.��7' ;-�' .} .,,+.,"�,. _
<br /> .E� 5.L � � r �� ,3 , �. ��3'���t, fi �
<br /> � �3T �;�„" �.t f�.� �, i e�`w��%r�t � �; '� ": a�.< `�;»���� � � '.d � ' �� �. .
<br /> �'��"�' 3���.,t ��.* `�'� ..'�,�"'� k.,r'�r �g za� �`''� �` ��..� � � {' ���� -q��-��q,��' �:� F`�;'"�`s i�" +rr .��� 'A ���'��� s��a,;.«•r
<br /> s,A3,^_ �' ._.,.. `'?�.�'< ;;:"�':g�+:'�r�,�.1�'VP,s:, . ':'. +t'���c � � ,.,, s�wJ',Y7:�e� .�.'�i �3n�:�� . �3.:tti��^h`��n�::*'r`�+.. Ir a�- �'.�"':X:Mfss�'��'M��m� .-r�;+�:''�
<br />
|