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, � <br /> `� � �PERMIT"FEE���;�J.�:�'TO�S. � �`� ���4�. <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �$� X.oias$ 2ZS <br /> (conVact price) (minimum$50.00) <br /> 2. STATE SURCHARGE �'p-D� �y <br /> � x.0005 $ � <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 1�J <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $��_ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged <br /> to the customer for the work done. If any material,equipment,labor or installations aze furnished by the <br /> owner, benant or any other party, the reasonable mazket value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount <br /> of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> �. `��,5 �IECI�'AIVIC����� L����3,� �.�.;� `.�« .��� `��, <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in st�ict accordance wi the ordinances of the City and the regulations of the State of <br /> Minnesota,and certifies th t s tements made on this ppl' ion are complete,true and correct. <br /> Applicant's Signature: Date: � ` � <br /> 3 <br />