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From: O5/10/20�7 �4:30 #07� P.004/004 <br /> . ,.. . . , . .. . ., , <br /> . . .�:- �' ��: <br /> " : P�RMI'I"FEE CAL���T��ON� ` <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.0� � <br /> ra�,�y 1:. L�� <br /> �(, �f�`'r�` �� X.�12$$ �J �: <br /> � lcontract pricc) ( ' um 550.60) <br /> 2. STATE SURCHARGF. � j `�'` ��� j 3� <br /> �.c� t��'�.' �.� x .0005 $ � <br /> �(contract price) <br /> 3. POSTAGE&HANULING(Only on?vIail-Tn Applic�tions) $______,�.�';,��� <br /> .:. � � �S <br /> ..:�:-- �� <br /> Q. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ -� <br /> ■ * CONTRACT PR10E or JOB COST means the aciva! or estimated dollar aiuount charged for the <br /> permitted work ineluding materials,labor,protit,and other fixecl costs. !t is the amoutat 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 i[ems must be added ro the <br /> estimated cost or contract price for permit fee purpuses. In lhe event tl�at there is a dispute on the amount <br /> of the job cast, the City may request the submission of a signed copy of the actual contract. <br /> ` MECHANICAL PERMIT APPLICATI�N AC3R�EMENT. , : <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with tl�e ordinances of the City and the regulations of tlie State of <br /> Minnesota,and certifies that all statements made on this application are complete,true and correct. <br /> 1 ,... ,: , .� , <br /> /� � t �r � <br /> �� 1,�,� ��� � • �` <br /> Applicant's Signature: 1,,.�'---,�.�, . ' `�''y1' Date: � � � � <br /> 3 <br />