ft aN4r
<br /> S6
<br /> . e
<br /> ��t� � s
<br /> r�
<br /> _ . s .. � _, .. � �
<br /> �.
<br /> f
<br /> . ',�4 � �
<br /> . , . .... ..,.: ..,_.::�_.„. . ,.-. .... . , . _ � .. . +r . _
<br /> PERMIT FEE CA,LCULATION
<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 FEE (Add lines 1-3 above) $
<br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 mazket value of such items must be added to the estimated cost
<br /> or contrac[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 /> ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
<br /> greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
<br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
<br /> work in strict accordance with the ordi nces of the City and the regulations of the State of
<br /> Minnesota, and certifies that all temen made on this application are complete, true and
<br /> conect.
<br /> Applicant's Signature:
<br /> ` Date:��C�_�
<br /> A _ ..
<br /> . ,; �..., .. _. _. ., :, , _. . �.} �. .;., . - -
<br /> a �
<br /> ���X'��� � '��� ��. �' � � :
<br /> t �'�"��^¢ .�;�;z�'� � ° �,a r '� ��'�"a� e''�� �, �� g°''' � �i..a � �. �r'�s�� �?�-,
<br /> � n ,�''"�^-'� �. R F �.�'f� � '�.-'x«o- �` +�`Y�� '�. �.c 9c '�v'��a�"y�`�.+,�a,#�,� �, �, � r`
<br /> �„�������4r �� i `�'`3.;� ne�,;_ ..a �'•��;:'� ^s7 w'�*,,:� r 5� ar'�'� _ �`,�, 's-#=€� �-,�y�f��' Y §s���,.a'��.`-�'a �,.:--.,q,, -
<br /> �'� "a_.�,: �A" �s�.#�T,,�� �:";', :-�' "�i:�.:: �'" �,. � ,� `"��`�`;.� ���:�� � . �.,,� t i.� "�::_���+�'l �n� e�.,.u.., ����t".° ,�,
<br /> ,� �'�'bi��a^�� '.�� 7�e�`�'t�r°� s".�+�.` -,�:.' �� °r�^1`'r��,����#�.*�, ;�':�a t*�,�,;� y '�"r�,aa��{�yA$ '���,". � �--r�s��-�..'� �
<br /> �.� �a Sr f3 ,,,a �3;�;,�.�j � � � +$e, � +� .z�'' "'�as';���h "� � � a'�Y'�� �i� ,� �� ,�.��� � .,
<br /> �-f������:�� ,s�''" a,* ��` �,�;�� `"�. k�� �'��^ � 3 ;���.� -�c;^� �.��C �::� ,��i ��� .��€ . r, .��a �z
<br /> y� ��'��.�.�'�' , � � �����'^,� :��r ���' ��, �-, � �. ���^��� �.:
<br /> - 5����a9q-.�,� 1„�.�.X��,��"''�"d�r. y,yn�y k� ibL,,,'�'k,�''�'�_ ^�', E�+m�'����y�����'�"��'�� ag. !.'�.. ':i�r,�� `*°�.���' �'* �"r 2�'�. i€
<br /> s 5+����R'�'£`��M'�`t �y,a�-�^��rt;,;,:. y �y't.;U � �-�� b ...�'#t ' �?' �'+�"�`'�+v`•�,.'�.� "� ��3r �j��a�' �c�;. � `� '�x € -���-��`�A,�a��r� �, .' ,�.,�jk§'�`� ;�
<br /> �� .s '� �..�� v`.�6. '�: ��a� " � ��-^T � r��R 4�� �+wg.r�t �'r"� ` :;:i z :� £ t ,.�-� r�r i�+..>� t .�� + � '',�+:�`q �' :<�'� �`.x i��;'
<br /> "F .� `�..P,-+^ ,�ut�,vi s�_,.� �i� �' ���5.,S-�+` ,r'�y°'4*�...` �u ��a� ��`��" ''`�`} K x w". ..�t t^a` k ��' .�. {' " ��` �r���-�z.
<br /> +g� ''�t c �. � � s z ?t� F � a �.�x �o- X 2 �Y� � $�r rq' .c .. s'� �
<br /> �+y�h'T R t 'vjr��y `�s�'G���„ �,. y ty��-,�.'�7� ��1r�Y '< *'d D A �'t. ..�,.�. C, $�t -t-c,�. �`^ y •.��- ;§ xy j, �x � �'+: z"�1`�;'.� `,.
<br /> L £�-A� '� a ,i ; ,#, .;y a� �' +�f � ��,�:- �, F r ' `�w �, r� w . .�y ) i ,' �' . � �.:
<br /> v�(��.-'� Y »?'�3 h� ��. g��-sP^A X ."h �i #_`�y^s.i `�"��1 t.�"� �" ;.x ,�' - �' r���' � t'- ��.�, , ���° �� � �, �r
<br /> d 4
<br /> 4' � �''u ."�t d :M ; b � 1 W t-� F � ..
<br /> Y g
<br /> .� ,S _ +R � ' C , _ + `_. 3 y a i
<br /> �r5 1� A . � � �'.va 1� 15
<br /> � � #f �
<br /> t d x��
<br /> � ,
<br /> ,: .._ ; ;. �,..
<br /> ,: � :. ,..�.
<br /> .
<br /> . ,. . � � , , .:
<br /> < .
<br /> . ., ,- :
<br /> , ', n� - � .:' . ' � ; , , .� .. � � - �`',�y..
<br /> _ : �
<br /> . _ �. �
<br /> . : t t
<br /> , � ,
<br /> 1 . . .
<br /> "'�',� ' _ . -- . �- ` '— - .. - t .
<br /> �
<br /> �K4 �4'. .CS��. �k = L �` � �A �,4�
<br /> [ �. .
<br /> .. .. �. .., . `,
<br /> t � . , a , , - � . _
<br /> � . . � . ..�:� �.
<br /> {
<br /> ." t
<br /> ... , " � ; � I � � ...
<br /> f� �
<br /> � h.. _ _
<br /> � .. , . , . . . . . . � . . . . . ` li, .
<br />
|