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. . <br /> / � � � � � <br /> • ,. , <br /> �Y�+ r� <br /> �`�- �� *'�";. '�,. 4� } � '�� �& ,�k k...:�`_ <br /> � � ..� h5 �i .W,f, ..� ix - <br /> 1. CONTRACT PRICE *'is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> Z.r'oo = X .oi2s$ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE, <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLIN�(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE�Add Lines 1-3 Above) $ �( ' �� <br /> ■ * CONT'RACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the <br /> permitted work including materi�ls, labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work donQ. If any material,equipment,labor or installations are furnished by the <br /> owner, tenant or any other patt+y, the reasonable market value of such items must be added to the <br /> estimated cost or contract price f¢r 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 /> �_.� �s� �`°� � - <br /> The undersigned hereby applies �o the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with Ithe ordinances of the City and the regulations of the State of <br /> Minnesota,and certifies that all s�atements made on this application are complete,true and correct. <br /> A licant's Si ature: / L�� Date: �—Z�"� 7 <br /> rr � <br /> I <br /> I <br /> � <br /> 3 <br /> � <br />