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Mar 11 16 02:16p Twin City Fireplace 9529422093 p.3 <br /> �,_- PERMIT FEE CALCULATION� <br /> 1. COlYT12ACT PRICE *is 1.25%of contract price with a{Ibiinimum Fee oi$50.00) <br /> �D��� � O xA125� �jf7 (7� <br /> {contract pricc) ( tnm�mum SSOAO} <br /> 2. STATE SURCFIARGE �} <br /> �/�O�" O C� x A0�5 $ � ` �CJ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(OnEy on Mael-In Applications) $ 2_00 <br /> 4. TOTAI,PERMIT FEE(Add Lines i-3 Above) $ `� � " �� <br /> • * CONTRAGT PRtCE or JOE3 COST means the actual or estima.ted dollar aruount charged for the <br /> permitted�vork including materiafs,labor,profit, and other fixed casts. it is the amount to be charged <br /> � to the customer for the work done. If any material,equipment,iabor or installations are fumishad by the <br /> owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> esriinated cost or contract price for permit fee�urposes. In the event that there is a dispute on the amount <br /> of the job cost, the City may reyuest the sabnnission of a signed copy of the actual contract. <br /> MECHAL'�tiCAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pemut, 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 ceriifies that alI statements made on ti�is application are complete,true and correct. <br /> r <br /> Applicant's Sigr�ature: Date_ � G'� �� ' <br /> V <br /> 3 <br />