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r � <br /> ���'�#���`��c.'`�'� 'x��y � �� �`�'" °:t k�� �� ������k��-a w ,,�'�������', <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 /> ��'� � 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 /> �,; � , . . � „�,. � <br /> � ..�.. .. <br /> , � � .,�, .. . .._ . _, ,,..� �. , , � �.-, � <br /> � , � <br /> . �w.,,t .. . � �..r ., , ._ , x. �-� <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: �4 'i���� Date: ��i�3��y <br /> 3 <br />