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.. <br /> � , <br /> _� � � u.� <br /> „ � - ,� a . �; � �:. � <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> l 3 �(�- X.o�zS$ 5b.o� <br /> (contract price) (minimum 550.0(1) <br /> 2. STATE SURCHARGE r 3 l� � � / � <br /> < < x.0005 $ i (9 <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> �� 6� <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 inciuding 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 /> �,.•. ���.k ��.a. . .. � d� � � w <br /> :.�":i e� .. ,. ... �k ,6�.n^�:�;n .�;'�.. <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: `-" II I LI <br /> 3 <br />