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<br /> If above does not a�ply;follow guidelines below�
<br /> 1. CON'C�#C'M'P�10E *is 1.25%of contract price with a(Minimum Fee of$50.00)
<br /> ��"" ' � x.0125� �._Jvi ��
<br /> (contract price) (minimqm�50.00)
<br /> 2. STATE SURCHARC� �
<br /> � � x.0005 $ /�
<br /> (contract price) T
<br /> 3. POSTAGE&HANDLING(Only on Nlail-Tn Applications) $ 2.00
<br /> 4. TOTAL P�KMN?'�'��(Add Lines 1-�Above) $ �" '��
<br /> ■ = CONTRACT PRTC� or 70B COS'K' means the actual or estimated dollar amount charged for the
<br /> permitted work including materiaCs, labor,profit,and other fixed costs. It is the amount to be charged
<br /> to the cusYomer for ihe work done. Tf any material,equipment, labor or installations are furnishec� by
<br /> the owner,tenant or any other parry,the reasonable market value of such items must be added to Fhe
<br /> estimat�d cost or contract price for perrnit fee purposes. In the event that there is a dispute on the
<br /> amount of the job eost,the Ciry may request the submission of a signed copy of Che aetual contract_
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<br /> The undersigned hereb� applies to the City for issuance of a Plumbing Perrnit, agrees to do all
<br /> w4rk in striet accordance with the ordinanCeS of the City and the regulations of the State of
<br /> Minnesota, and ceriifies thai all statements made on this application are complete, true and
<br /> correct_
<br /> G�L� /J /�s�--
<br /> Applicant's Signatu e: Date: /
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