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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 09l16/2016 15:23 #167 P.003/003 <br /> � ' ' � <br /> ,> <br /> 'RE�1vIIT FEE CA�.:CULA'i'IO1�tS ` � <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> , `7��� x.0125$_ • <br /> (contract price) (m�nimum SS0.00) <br /> 2. STATE SURCHARGE ��`•�\ <br /> lJV x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines I-3 Above} $��-�'� <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,tabor,profit,and other fixed costs. lt is the amount to be charged <br /> to the cusiomer for the work done. lf any material,equipment,labor or installations are furnished by the <br /> owner, tenant or any other parry, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. !n 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 conh�act. <br /> � ;ME��JA�1��AL PE��':;i�'PPL�C�I3QN tAGREEiti�N3' .�.::,.�. .�.� _, <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do atl <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota,a��d certifies that all statements made on this application are complete,true and correct. <br /> Applicant's Signk�iJC�✓� Date: <br /> �_�.�-2 �\ S �,Q..SC7 �C�C�� I.�OL �(,. C1`�. <br /> � � <br /> —t�,c 1�J ��� • �""'� '`-�''�✓Q � � �n ��..� <br /> . <br /> � ����t CC�.,'�"l�''� v ��.. <br /> c�• y <br /> . <br /> � �.�. �� �. � <br /> ��-- , <br /> 3 <br /> �� <br />