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� � � I <br /> � �, <br /> � T'� ��T���`;r. - �. <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> z.�DOp x .0125$ <br /> contract price) (minimum$50.00) <br /> 2. STATESURCHARGE <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLIN($(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(�f1dd Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pemutted work including material�, 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 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'�ermit fee purposes. In the event that there is a dispute on the amount <br /> of the job cost, the City may 'equest the submission of a signed copy of the actual contract. <br /> 3� �� w ,� � ... <br /> b�'�':�°�$ M�S �^ <br /> The undersigned hereby applies to �the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with th� ordinances of the City and the regulations of the State of <br /> Minnesota,and certifies that all stat�ments made on this application are complete,true and correct. <br /> Applicant's Signature: � V'�"G��-�o Date: S Z 3 —�� <br /> 3 <br />