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.. ,. <br /> � .���' � . �, ��.� �.w,�"���;��� <br /> !f above does not apply;follow guidelines below: <br /> l. GQNTRACT PRICE *is 1.25%of contract price with a{Mlnimum Fee of 550.00) <br /> x.0123$ <br /> (contract price) (eninimum 5{(1.011) <br /> 2. STA7'E SiJRCNARGE <br /> x.0005 $ <br /> (rantmct pric�:) <br /> 3. POSTAGE&HANDWNG(Only on Mail-!n Applications} $ 2.Q0 <br /> 4. TOTAL PERM[T FEE(Add Lines i-3 Above) � <br /> ■ '� CONTRACT PttICE or JOB GOST means the actual or estimsted dallar amount chargetl far the <br /> permitted work including materiats,labor,profit,and other frxtd costs. it is the amount ta be char�ed <br /> to tho customer for the worlc done. !f any matcrial,equipment,labor ar installations are furnishcd by <br /> the owner,tenant or any other party,ths reasonable market value of such items must be added to ihe <br /> estimated cost ar contract price for permit fec purposes. [n the eveni that there is a dispute on the <br /> amaunt ofthe job cost,thc Ciry may request the submission of a signed copy of the actuat contract. <br /> ., . _ <br /> . . <br /> �"���`�`�'� �. � �'� <br /> �,� ��.x.��A � : �_ � ��� <br /> �r � t�a <br /> The undersigned hereby applies to the City for issuance af a Ptumbing Permit, agrees to da all <br /> work in strict accordance with the ardinances of the City and the regulations of the State of <br /> Minnesota, and certifies that alt statements rnade on this application are complcte; irue and <br /> conect. <br /> Applicant's Signature: �� I Date: 04/22/15 <br /> � � <br /> ,,pg � .e+ ''i3 �. <br /> �+'r,�€t;54K' �. <br /> ¢f h fi�„�x o�.,i.v�i��..�'�«<d�F.x. <br /> 3 <br />