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�s ' <br /> j � . <br /> If above dces not apply;follow guidelines below: ' <br /> 1. CONTRACT PRICE "is 1.25%of contract price with a(Minimnm Fce of$50.00) <br /> � 0 9Q�� X.oi2s$ /�l. a� <br /> ( ��ce> (��om sso.00� <br /> 2. STATE SURCHARGE ,' � r <br /> �, � x.0005 $ �o. y•5 <br /> (���ce) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ /�o`r• �V <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 thc amount to be charged <br /> to the customer for the work done. If any material,equipment,labor or installations are furnished by <br /> the owner,tenant 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 <br /> amount of the job cost,the City may request the submission of a signed copy of the actual contract. <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 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 <br /> correct. <br /> Applicant's Signature: Date: �✓ <br /> 3 <br />