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1 � <br /> � � _ .�; s.... <br /> � .._ <br /> ; � : �� � �_ <br /> ,, . y v ; � .. . <br /> �� � <br /> , ..� �„w„_ .:.r. . � .�..' - ' - .. . ` .�. "` .� <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 1 ,800.00 X.o12s $ 50.00 <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE � �800.00 0.90 <br /> x .0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $52.90 <br /> ■ * CONTRACT PRICE or JOB 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 contract price 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 /> < :.. <br /> �� ,< <"� ' , .����.�� .. . �. _w _ , ",,•'� � y�;� <br /> �� � �.���' ���. . �.,: � �,c ��, <br /> a. <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 1 stateme �a►ade on this application are complete, true and <br /> correct. i <br /> � ,, <br /> Applicant's Signature ' Date: OH/�5/�Z <br /> Rese� �FQr�t <br /> 3 <br />