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� . �_r � �� <br /> 1. CONTRACT PRICE * is',1.25%of contract price with a(Minimum Fee of$50.00) <br /> � 23 � .00 X.o12s$ <br /> (co Vactprice) (minimuro$50.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (conVact price) <br /> 3. POSTAGE&HANDLING(Qnly on Mail-In Applications) $ �-@� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � d cJ�• �`T—' <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, la�or,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 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 per�it fee purposes. In the event that there is a dispute on the amount <br /> of the job cost, the City may requdst the submission of a signed copy of the actual contract. <br /> The undersigned hereby applies to the �ity for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ord#nances 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 correct. <br /> Applicant's Signature: Date: ��25'��D <br /> � <br /> I <br /> , <br /> �� 3 <br />