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r <br /> .r <br /> r . <br /> � ' �E�M�T:FEE C�+CI7�A'I'I���'S"-=�JC}B�QYER$500:04 =;<; ' <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ����� x.0125$ <br /> (conVact price) (minimum$50.00) <br /> 2. STATE SURCHARGE �2��o� <br /> (J` x.0005 $ <br /> (conVact price) <br /> 3. POSTAGE 8c HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <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 fiunished by <br /> the 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 <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> � ���1°?I��fC'r-�' . :��'P�IiL.1��flN:'�1�G�E��i�fiT � ,_ <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 /> ApplicanYs Signature: Date: � aG � <br /> 3 <br />