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� '� � ' �_ E, s �' ��.� «?� � �e1 ��+��s, �# �r� � �=r'$�a't-{,��+{�'�'�Y�� "�'�4`�t 3��`r Y�s"� � � '�'�'c� <br /> 2, �� �°i ; �e s t. '., f �.�5 . � � }e�,.sym�i-"�` � �'�re� :� `��� � � «�;'^���,��'^x,���y <br /> yt'X' �� >Y f�.� '+�'� <br /> ��r , : 'Y Y�_ '� � ,r t?�. � �d �,, <br /> �`� �. y�- w "� ��. s �, � �'� � '�" �_ .: �.e ��ar ��, � - ���4, � � <br /> ;w. ::w �"�" �r r�>, ,:,9 �;a'"'�� � ..v, : C �Y �� t. �, ��� 1,N�„ r;'��d� .,,.�-�v�'�'�' �s.>�T^. � z '?�c"s,. '�'� '�k. W' <br /> ,<<t�akY!�-� . �S'�..,�"�a�>�.# �a^7..nn.� ,�S .. . ,. . - . ._ .._ _ .c� ,'a�_ _.�., ,,,3>,�5^ee..=..:�.3^'r r�`.�_,. �1� . .`�> ;�,r....,. , . _ ,r§� <br /> PERI�IIT FEE CALCULA�'ION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.001 <br /> � �� ,�C2�• C�� x .0125 $ ����-�� <br /> (contract price) <br /> 2. State Surcharge. ** Add the State Building Code Division <br /> Surcharge to each permit. � ` �'t��C� .1���;: x .0005 $ �- 1� <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Postaae and HandlinQ (Only mail-in applications) $ 1.50 <br /> � 4. TOTAL PERIVIIT FEE (Add lines 1-3 above) $ `������ <br /> y <br /> i: <br /> t;, * 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 /> a, <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 /> x. <br /> w or contract price for permit 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 /> ;: <br /> � ** The STATE SURCHARGE is .0005 of the contrac[ price under $1,000,000 or $.50 - whichever is <br /> � greater. For valuations over $1,000,000 call the Department of inspectional Services for the price. <br /> E: <br /> ,, <br /> � The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> ��. <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> i; , � � , 9 `��'' � <br /> � Applicant s Signature: ��GC�`.0 G� � ,���4���, Date: ���� �J <br /> � <br /> � <br /> i . <br /> � <br /> �� <br /> � ,� , A . .. . <br /> 4� <br /> , , , .: <br /> . , <br /> ,. . ,;. , <br /> � _ � � <br /> . , , . . <br /> � � r . - . �. � . <br /> ,s � � �� <br /> : °+i� � �� ,�.� z r, �` � n <br /> � � ��� �� � , <br /> '� �Y i§ � �e"bg�v�� � . .. <br /> 'b{ ��3 j'�f�'�' ' �� '^�I��dc7aaqv�x� t < � �rs�m� � " �-�_ �kr 5, r, � : ,� x •. <br /> � �, � �R � x:W n �y �,��. �'�. �2b, ", � 41. �������f'e"Er z r. `'k. <br /> �~F�' �7�% 4 -`��i�{�."3y^�=���F�y�*a ��3. �'���;� <s� ��'�'� �° �� '���vi"°`� : <br /> � r <br /> � � � -�s �rc,�y y'Y..�� . ,�y��r�,..+F5. �,� :� ��r5a�'Si �,�, ,,�.�, ' <br /> �` m�a r' <br /> S { <br /> � Y 4� S Y� �` ' at <br /> �.�, ' � � �i �'��„��� ,, }���,�°r�"��,,.�,`�'.��'� �`�����.'$�d � �'� �a' �.� � <br /> '�s ����t .z � � �+ �� 3 �' � � �• <br /> � . <br /> r � <br /> yY <br /> . . _.a� �'Ft�'"��.3e ,��,'� �,4ro,'�_x ������ y,�x�� P� i��k,�a� ;��'�`�;��"`��, Y"�i���.� ;, � �' <br /> `�-. �Cr �Y� �' �8 p�. ��t,�� �w A�F._. '�n -S`t.�.-< 3 _ +', i'��.�.� tq� y�''�§f.M'�s ��'�d�.�����.#��R �3.r-�y�. ����yp�Y� it . . <br /> �..^,e �.% �� y S;;¢�^��d��"``� -'.71 F +5� b � i,,',' Y � v*hV'_.?f S � fi �3�� ��d� :'A.�`.�'n�b�� �'...;'��,. ,� ?� o �a <br /> � <br /> . _ <br /> ,� �. ...� ��.aFs . '�i.. .,� rR.Kf . .i n '::... ':...• ' r� �:; '� ;.. .r. .......:. Z`. i . '.>., ae'�i..:,... M.�. ..: ..: Ff.,.{. .�<o-x�Et4' ..', <br />