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.♦ <br /> f ''�g "���-x .:' PERMIT�F���CAI�CUL;ATION S =JOBSrOVER$500.00. ` : �_ , <br /> - � ���_. �. <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) <br /> � � <br /> X .oias$ �'f:3;J, j <br /> (cont act price) (minimum$50.00) <br /> 2. STATE SURCHARGE ��^� "-- <br /> x.0005 $ I 7� � <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J�J � <br /> ■ * CONTRACT PRICE or 70B 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 furnished by <br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost or conh�act ptice for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ; - PLiJMBING PERMIT-`APP�;IC.I�TION�A.�REEIvIENT , .'`=` . � <;: .. <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 /> , r//'�� � ' / � <br /> Applicant s Signature: Date: �� � <br /> 3 <br />