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�, , . � <br /> , � a <br /> � �. , , <br /> . � <br /> ��� . . � , <br /> ��.. ��,�� ,�3., �, ., ° � <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> S35a.(� X.oi2s$ (.�V .�a <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE t3 s� � X.000s $ �-Lt � <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ! l �S{l <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 fumished 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 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 /> �������� � ¢<�� �� <br /> ����, ..� �. � <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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 correct. <br /> Applicant's Signature: ti U�.� Date: �j� ��` �� <br /> 3 <br />