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<br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
<br /> J�(��s. W x.0125 $ t,c Z•�Q�1
<br /> (contract price) (minimum$50.00)
<br /> 2. STATE SURCHARGE
<br /> so� s.� X.000s $ a. s�
<br /> (contract price)
<br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
<br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ l��� �"1
<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 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.
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<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 /> Applicant's Signature: Date: � U -� ��� �
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