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. � <br /> � ' � ����, �_ ��'`�� �'� � _ �;, <br /> r y <br /> > <br /> . � .. <br /> ` � "�`` -s,%L� s +R" .,. .,.. G , � . �..� <br /> 1. CONTRACT PRICE 'is 1.25°/a of contract ptice with a(Minhnum Fee of$SII.00) <br /> �{P �� x.oi2s$ <br /> v � <br /> c�c�ce) cmw.ti�sso.00� <br /> 2. S,�'ATE Silit �LAR �,/��d .� <br /> �� x.0005 $ <br /> (���ce) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ .2:d� <br /> 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ � � �� <br /> ■ * CON'I'RACT 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. ff any material,equipment,labor or installations are furnished by the <br /> 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 amount <br /> of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ��f>. <br /> �,y'.. ,�.. �yr�.�,�. <br /> The undersigned hereby applies to the City for issuance of a Mechanical 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 correct. <br /> Applicant's Signature: Date: 7 � �6 <br /> � � Z ( l <br /> ��� � <br /> 3 <br />