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1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �(,�9e' �' x.0125$ � .J <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE �z� � �,v <br /> yGu' ' X.000s $ , <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> �' <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � `' <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 /> 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 that all statements made on this application are complete,true and correct. <br /> ApplicanYs Signature: �i�f - Date: ��f l�+ <br /> 3 <br />