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. <br /> �/. �\ � j f tj� .si� ..:: " �.. .� ' 3 37 ` tE�� �� �..�I�33 3��x3 C{� �III�I II3�NE(I((EEt fR 5��El�iI3l�ii..f Ii <br /> .._, .... . � .,E,,,..i, , ,, kE�� � ....... ..� ...... .,... .t.. .::.. ... ��. �. !!,� � 3�7l313 ...:::�E €� ( i..E.€rE 3 <br /> ���. ..e.. ......., i3 .� ...M..=,E_ <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � �S�r� x .0125$ <br /> (contract price) (minimum$50.00) <br /> 2. STATESURCHARGE <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 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. <br /> � ,.,:. � � <br /> �� ���\ , E ��.�? E .�..� i..: ����E �s: �€ IE�f�(Eiiiii�. <br /> -,���,��� ,:.:...... , _ ' ... , 3 ���€,E€€�I�€ 3t€,, �!i;?,� <br /> , <br /> . . :... . ....:..... �. . E. � ., n..€..: .. <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 mad on this applica ' n are complete,true and correct. <br /> Applicant's Signature: Date: � —,�y '�� <br /> 3 <br />