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I <br /> � , • I� <br /> ♦ I <br /> � <br /> ` PERMIT�''FEE�'C?A1.C'CJ',��`ATI'O1V�S ''10BS.OVER$500:00 <br /> If above does not apply;foliow guidelines below: <br /> I. C�ONTRACT PRtCE *is I.25%of contract pi�ice with a(Minimum Fee of�50.00) <br /> x.0125$ <br /> (conlroct pri ) (minfmum S�II.00) <br /> 2. S'�'ATE SURCHARGE <br /> �;.oaos s <br /> (controct nric�) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Apolications) $ 2.00 <br /> 4. TO�1'AL PERMIT FEE(Add Lines I-:i Above) � <br /> ■ ' CONTR I,ACT PRICE or J�B COST means the actuali or estimated dallar amount charged for the <br /> permitted work including materials,labor,profit,and othfr fixed costs. It is the nmount to be charged <br /> to the customer for the work done. If any material,equi inent, labor or installations are fumished by <br /> the owner,tenant or any other party,the reasonable mar�et value of such items must be added to the <br /> estimated cc►st or contract price for permit fee purposes.l In the event that there is a dispute on the <br /> amount af the job cost,the Ciry may request the submis�ion of a signed copy of the actual contract. <br /> ��L�BI�������p�rc;�x 'o�,�p`REEMENT <br /> The undersigned hereby applies to the City for issuance�of a Plumbing Permit, agrees to do afl <br /> work in strict accordance with the ordinances of the �"ity and the re�ulations of the State of <br /> Minnesota, and certifies that all statements made on th�s application are comptete, true and <br /> correct. <br /> ,r � � 10/14I14 <br /> Applicanrs Signature: ��=--��`f�� .L ` Date: <br /> Re§et`�brm�k ��:;, <br /> I�� <br /> 3 <br />