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, <br /> ► <br /> �'��II"�'��`�.A�����'Ifl�(S).�JC�BS E)��R$�Q(}:�#�,:` ..; <br /> ff above does not apply;follo��-guidelines below: <br /> 1. CONTRACT PRICE * is ].25%of contract price with a(Minimum Fee of$50.00) <br /> �/O7�!�/� x.0125 $---L���� — <br /> (contrac[price) (minimum�50.00) <br /> 2. STAT'E SURCHARGE: <br /> � <br /> ---� 9av ��� X .�o�s �--- ��-y�-- <br /> (c nLract price) <br /> 3. POSTAGE&HANDLING(Or�ly on Mail-In Applications) � 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �(r��� '7 U <br /> ■ * CONTRACT PRICE or JUB COST means the actual c�r estimated dollar amount charged for the <br /> permitted work includir.g materials, labor, profit, and othcr fixed costs. It is the vnount to be charged <br /> to the customer for the work clone. lf any material, equipment, ]abor or installations are fumished by <br /> the owner, tenant or any other party, the reasonabie market value of such items must be added to the <br /> estimated cost or cantract pr•ice for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request Yhe submission of a signed copy of the actual contract. <br /> �`I.fUMBII�i�P�RI�T.�;PpL.ICATiO�v'AG��MEl`�I'T < ` ' �� <br /> The undersigned hereby applies to the City for issuance of a 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 /> Applicant's Signature: __ Date: 7�J��_�/ <br /> 3 <br />