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� <br /> � <br /> . � <br /> ,�,_ , . . . - <br /> � <br /> � <br /> � " <br /> _ <br /> �sa ,,.:, �� � r.. ,.. <br /> ,,. �� . �M �� > ..� ,�� �. �R .�, _.ti <br /> ,� <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) <br /> � x.0125$ <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <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 <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 /> ��� r ,, _ _..: . _ � � �;� <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 /> �p -2�2oi3 <br /> 3 <br />