|
�,.����k � � �+ � ,,.�ta� � 'q'� �.ee . ,�� �'� s . i �� � �� ��. b 3^ �1��"�x��r.t,�r�,�.� P '',�,.�..�. "r f. ' _ "ir Y d :%
<br /> �� �.,� r'�a�».d �FY:'x,a�� '�;�,, rY::f ! s� r�6�:, � tN�`�ae��i� .����'
<br /> ��
<br /> PERIVIIT FEE CALCULATION
<br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.00)
<br /> � �0� x .0125 $ �/_�S
<br /> �` °.
<br /> (contract price)
<br /> 2. State Surcharge. ** Add the State Building Code Division
<br /> • Surcharge to each permit. ��,�`�� x .0005 $ .�-a�
<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 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 ue 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 pemut 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 Inspectional Services for the price.
<br /> T'he 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: � �OS�
<br /> A.
<br /> � j:�'
<br /> � �
<br /> '4'/'�' ,�.
<br /> �W:
<br /> J� '�
<br /> t�'y
<br /> _ �.� �._ ��� } ;�
<br /> � - a.
<br /> e +
<br /> , -._ �' NYr�' , . .� ti�
<br /> ^ a
<br /> �
<br /> - ., .�.5,�,�`�''��. .
<br /> . , � ��_ �_. �._ �� ,w. , � ����.t . . .
<br /> ,�'�- _ .. . .,. _ .<
<br /> y, � �� � ;� ��``t�,�����+�, ��x�� � ��`y�'?s.�� , y� � . w �''_ �
<br /> � � ;
<br /> �� e� Y�.�(�+ W .�. .. . � 1.}� 7 k
<br /> . .... -_,. .�t�, . .�. .. .�u� . €. �� ._z _ r��� t� ':� ,�3.��W� �� .� ��,..r' _ . . .o. .�� .,. _� . , .,_. K'�4�'� -f �t�vs.
<br />
|