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126C454587 <br /> If ebove does nat apply;follow guidelines below: <br /> L C�NTI2slCT PRICE 'is 1.25%of contract price with a(Minimum Fee of S50.00} <br /> x.0125$ <br /> (contract price) (minimum SS0.00) <br /> 2. STATE SIIRCHARGE <br /> �c.0005 $ <br /> (contrecK price)� <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,ap <br /> A. TOTAL PFRMIT FF.E(Adci Lines 1-3 Above) $ <br /> • ` CONTRACT PRICE or JOB CO5T means the actuai �r estimated doilar amaunt chazged for the <br /> permitied work including materials,labor,protit,and ather fixed costs. It is the amount to be charged <br /> to the customer for the w�rk dane. If'any material,equipment, labor or installations an furnished by <br /> thc owner,tenant or any other party,the reasonable market val�e of such items must bc added to the <br /> estimated cost or contract price for pennit fee purposes. In the event that there is a dispute an the <br /> amaimt of the job cost,the City may request the submission of a signed copy of the actual contract. <br /> ,�r� � �B' <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> �vork in strict accordance with the ordinances of the City and the regulations of the Statc of <br /> Minnesota, and certifies that ail statements made on this application are complete, true and <br /> conect. <br /> _____�-E� �z-2a�z <br /> Applicant's Signature: � Date: <br /> � Reset Forrrt�=`��� _-. <br /> �.. � ..a.��"��. � <br /> 3 <br />