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. <br /> � ' `# ` �� � ` �� ���� U�#��'ION S =�J�BS�'>b �i�°"�SQQ��1�,���� �. � <br /> �'=� .,.� :�,"��=�:,a... .�., a�� a��..... <br /> r - " <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �~l�J�� x.0125$ JV <br /> (contract pricc) (minimum S50.00) <br /> 2. STATE SURCHARGE / 9 <br /> [ ��� X.�0�$ $ r i � <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� � �D <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 <br /> the 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 <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> :. L .. P�L�M$��,,p�° � �' .�L�C��T�Q�AGBEE�$NT�'r �,�;�* ����m����� <br /> .. .- . . .....'°. <br /> The undersigned hereby applies to the City for issuance of a Plumbing 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 <br /> correct. <br /> Applicant's Signature: Date: <br /> 3 <br />