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tA/30/2016 09:27 6517722440 STANDARD HEATING PAGE 03/03 <br /> i <br /> 1. CONTRACT PRICE "is 1.25%of ontract price with a"nimuno Pee of$50.00) <br /> x.0125$ �3 <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE , <br /> x.0005 $ �..L <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,SZQ... <br /> 4. TOTAL PERMIT PEE(Add bines 1-3 Above) $ <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 costs. It is the amount to be charged <br /> to the customer for the work done. If any material,equipment,labor or installations are flu nished 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 /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinance the City and the regulations of the State of <br /> Minnesota,and certifies that all statements m' <br /> o s application are complete,true and orrcct. <br /> Date: <br /> Applicants Signature: <br /> /y <br /> 3 <br />