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10-18-'16 09:52 FROM- 555-555-5555 T-590 P0003/0004 F-536 <br /> . ,� . <br /> 1. CONTRACZ C *is 1_25%o�contract price with a(Minimum Fee of$50.00) <br /> r o�b <br /> � t'/b�cP��� x.0125$ � �7 7 ' <br /> (mnnrtruact price) (miuiaouao 550.00) <br /> �. S'�ATE SURCHARG� � �,p�oao°� � <br /> X.000s $ � 3S <br /> ccontract price) <br /> 3. POSTAGE 8r HANDLING(Only an Mail-In Applications) $ 2.00 <br /> � <br /> 4. '�0�'AL��'�k��(,A.dfl Livaes �-3 Above) S C��Z''� <br /> ■ * CON�'�tA,C'f �RZC� ox JO� COST�oo�ea�as tb�e actual oz �ated dollar a�ou�t ck�az�ged for t}�.e <br /> permitted work i�cluding materials,labor,profii,axid ather fixed costs. It i�the�tourAt to be charged <br /> to the custgmer for the work done. If any material,equipment,labor or installations are fiarnished by the <br /> owner, tc�ant or �ny other party, the reasoz�able naar�Cct va�ue of sueb� zteAas �p,ust be added to the <br /> estimated cost or contxact price for permit fee purposes. In the event that there is a dispute on the amount <br /> of tk�e job cost, the City may zec�uest t�ae subnaission o� a sigz�ed copy of the actual can#ract. <br /> The undersigned hereby applies to the City for issuance of a Mechanical�ez�it, agrees to do ala <br /> work in strict accordance with the ordinances of the City and the regu�atio�s o�'#he State o� <br /> Minnesota,and certifies that all statements made o�this a��lication are ca�aaplete,brue azad co�;rect�, <br /> A��licant's Sigl�ahtre� ----^�DaTe: �`"�' ��� ��� . <br /> .' � <br /> 3 <br />