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f � �. <br /> �.. ��'� `r r " ` A <br /> �.;. . <br /> i � k <br /> ��i•`"c w,� i�.�I..< ..,. .��k.� i,N � '., n, � <br /> _� , .. 3.. �� }�'` <br /> .d. .F�$� � 'w•rP F. <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ����� x.0125$ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <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) $ <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 chazged <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 mazket 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 /> ����� .� � fi � � Y V�F ti�� ������ t ��.;���j� <br /> � ��. ..e�;i ..�."�,'z''�, ..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 certifie at all statements made on this application are complete, true and <br /> correct. <br /> � <br /> 4 � � � ^ � S <br /> Applicant's Signature: Date: 0 <br /> 3 <br />