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r <br /> • M a <br /> . .,. .� . .. . .. ... <br /> P�1k�T"T��E.+�,���C.��'�'� :�'�.. <br /> l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � � ��� ��� <br /> X .o12s s <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE �1� <br /> x.0005 $ ' <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> G� <br /> 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ I <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted 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 /> of the job cost, the Ciry may request the submission of a signed copy of the actual contract. <br /> 1�����+FI�A�,i P��1�t�T�PPt�I��'�IQ�T�4'���11�I�T <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 /> Applicant's Signature: ��,(� Date: 'I ' I <br /> 3 <br />