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' . <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> C.�j o�O"-" X.oi2s$ �l a=^ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE -- <br /> �,S-(7(�ov x.0005 $ 6�•� <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ _��� <br /> s;- <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,pmfit,and other fuced costs. It is the amount to be charged <br /> to the customer for the vvork done. If any material,equipment,labor or installations are furnished by the <br /> owner, tenant or any olther party, the reasonable market value of such items must be added to the <br /> esrimated cost or contra¢t 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 /> T'he undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the or ' ces of the City and the regulations of the State of <br /> Minnesota,and certifies that all st ents ade on this application are complete,true and correct. <br /> Applicant's Signature: Date: /� / <br /> 3 <br />