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'' �aC.-K c� �S -�r' �'�' <br /> . <br /> I �J�D ��1�WC�X� <br /> , <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 /> $ � �y�� x.0125$ �� �� <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE � `� <br /> 1�'�� 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) $ (—,� ��� <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 <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 /> 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 /> � � �����"S�,�f�Q�'t1t�� � �.N: <br /> �,�.������ ��k �� .,�; � ..,, � <br /> 3 <br />