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� • •y [ ► <br /> s � <br /> -d���a'1 ��e�iYt�J������� " <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 1Z � x.0125$ <br /> cont�act price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ � 5�ji !/ V <br /> ■ * CONTRACT PRICE ar JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,pmfit,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 City may request the submission of a signed copy of the actual contract. <br /> ,. . , _ <br /> _ ., ,. <br /> :' � �- �� <. _ "' ,f. � � ���� , _�; <br /> .; <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 ordinances of the City and the regulations of the State of <br /> Minnesota,and certifies that all statement mad on this application are complete,true and correct. <br /> Applicant's Si ature: � � D t • � � <br /> � a e. G � <br /> 3 <br />