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Jul. 6, 2016 2: 58PM PRACTICAL SYSTEMS No, 2178 P, 4 <br /> 1. C01VT�ACT pRIC� * is 1.25%of contract price with a(Afinimum�ee oeS50.00) <br /> 35CaD.o� x.o�zs� S0.o0 <br /> (contract pr;cn) (nilnLnum 550.00} <br /> 2. STAT�SCJ�CHARG�E <br /> �SaQ•00__x.000s 5 ( � 7 � <br /> (contract priccj � <br /> 3. POSTAG�&�TANrb�.TNG(Only ou Mail-Yn Applications) $ 2.00 <br /> 4. TOTAT.��,�M.TT F��(Add Liy�es 1-3 Abnvc) $ �j( ,� � . <br /> � ` CONTRACT PI�tTC� or J'OB COST means the actual or estimated dollar a►noun[ chaegcd for tl►e <br /> perinitted work including materials,labor, profit, and onc�r Fixed costs. It is the amount to bc charged <br /> to t1�e cuslomer for the vcrork done. if auy material,equipmcnt,labor or iustallations are fumishcd by the <br /> owner, tenant or an� other party, the reasonable market Value of sucl� itetns must be added to lhe <br /> estimated cost or eontraet pricc For pennit Fee purposes. Tn tl�c cvent that there is A dispute on thr amount <br /> of the job cost, the City may request tf�e subinission of a signed copy oF the aeh�a! eontract. <br /> The undersigned Iiereby applies to the City for issuance of a Mechanical T'ermit, agrees to do all <br /> work iu strict accordance with the ordir�ances of the City aud the regulatioits of the State of <br /> Mlnnesota,and certifies that a!1 statements made on tl�is applicatiou are complete, true and coi7-ect. <br /> Applican['s Signature� y�,rLk►��� ��,•�L Dat�: <br /> 3 <br />