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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 O7l19l2016 10:14 #157 P.0031004 <br /> . <br /> PERMIT FEE CALCULATIONS ' <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum�'ee of�50.00) <br /> �d���_ x.0125$ Sb� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE p0 <br /> _,I UU� � x.0005 $ ��D <br /> (contract price) <br /> L/� <br /> 3. POSTAG�& HANDLING(Only on Mail-In Applications) $ .00 � <br /> � <br /> =1. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRtCE or JOB COST means the actual or estitnated dollar amount charged foi• the <br /> pennitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material,equipment,labor or installations are furnished by the <br /> owner, tenant or any other party, the reasonable market 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 /> af the job cost, the City may request the submission of a signed copy of the actual contract. <br /> MECHANICAL PERMIT APPLICATTON AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanica] 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 correct. <br /> � �,�.� �"l l�t <br /> Applicant's Signa e: Date: <br /> � �.a�.- ��- �-�t,va�o� Wa-S �1.� � <br /> y-v�� ��r�.U��s c�.{��1� c,�hc� ��.�t- <br /> VvaS �o� � � `-�.-� �vrn.i�-� <br /> � ���-� h�� 5�� �� ��S �•�-� <br /> 3 <br />