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.+ <br /> • , , _ <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum F of$50.0 <br /> a 90� X.o�25$ � �o �o� <br /> (contract price) ( inimum$50.0� <br /> 2. STATESURCHARGE <br /> ��v� X.aoos $ � � <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ . 0 <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 /> pernutted 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 /> � �� <br /> Applicant's Signature: �_Date: U � � <br /> 3 <br />