Laserfiche WebLink
�,� a� v �5 x.. s�r�� �'d � � ,#a a s a' « 4 i�" ���Y a �r� y��.�., .`S" s� , <br /> k <br /> � ' _, .�'��.�' �,�ri'�``�' <br /> �:'r.as4 �i l.Ti.l'.'c''yf.� 4.'.L':�:�..3:. �x..��.x�. ..'4�����,_.- . <br /> ,_ . . . c .. ,_:_. ,.. . , ��..`"=.h. � ,5� . . .., n=.� ,X" <br /> 1. CONTRACT PR[CE *is 1.25%of contract price with a(Miaimum Fee of$50.00) <br /> '�,���� x.oias$ b(� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE 1 , �� <br /> x.0005 $ � <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S <br /> �� �� <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 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 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 /> �� .,. ��,'�thy� :_ �i `rN�,..�.��'7:Y` � . C a -� .ti" � s � ��.;•a' <br /> :=-5.., .� ` , ���s�....:, #.3 J���,r�,h�,�. , �,,. .�z.,�. ... .�. ���� ,�. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, 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 statem made on this application are complete,true and correct. <br /> ApplicanYs Signature: Date: ��—'�-��� <br /> 3 <br />