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Apr. 5, 2016 9: 09AM Genz — Ryan No. 0446 P. 5 <br /> ,t,.�q i .I t t'. "°'c, a; •"t7. 1,1,..,1":1 I y.{ <br /> I:t •:,. 1041 'Y +� �y :. F <br /> ��,x,,,�� rtirtii��'��:P��lVIIT.FE�:;CA,z';��U;-,:, <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee/off$50.00)) <br /> U6-1 x_0125$ ,Dq f <br /> ko- <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ l ((JJ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ '—roo <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ V , `ti <br /> q — <br /> ■ : CONTRACT PRICE or ,TOB 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 /> ..n: .+ t •+arc,' '.��9t t"I <br /> 'ERIVII UTIV, V " ,i „i"a+sa(it r <br /> T:APP <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 a statepnents made on this application are complete,true and correct. <br /> Applicant's Signature Date: �DI <br /> 3 <br />