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i <br /> i <br /> ♦ I ' <br /> - i <br /> i <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of coatrad price with a(Ninimam Fee of$50.00) <br /> 1t�OF70 x.0125$ 1 -76 <br /> (contract plica) (tniSiMM 8WAO) <br /> 2. STATE SURCHARGE <br /> 1'1040 X.0005 S 07.00 <br /> (contract price) <br /> I 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> I <br /> i 4. TOTAL FERMIT FEE(Add Lines 1-3 Above) S / O 7 <br /> ■ * CONTRACT PRICE or JOE COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed oosts. It is the amount to be charged <br /> to the customer for the work done. If any material,equipment, labor or instalwonus are fimmisbed by <br /> the owner,tenant or any other parry,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 /> i <br /> amount of the job cost,the City may request the submission of a signed copy of the actual contract. <br /> i <br /> i <br /> The undersigned hereby applies to the City for issuance of it 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 /> I <br /> Date: <br /> Applicant's Signature: ( � <br /> i <br /> I <br /> i <br /> I <br /> i <br /> 3 <br />