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M ' I <br /> � � <br /> . <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.0�1) <br /> ��S�v° �' <br /> X.oi2s$ <br /> (contract price) (minimum$5 .00) <br /> 2. STATE SURCHARGE I�I <br /> x.0005 $ II <br /> (contract price) i <br /> �3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00_II!� <br /> � <br /> �4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ �� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charge for the <br /> pemaitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to ttie customer for the work done. If any material, equipment, labor or installarions are shed by <br /> the c}wner, tenant or any other party, the reasonable market value of such items must be add d to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a disput� on the <br /> amomnt of the job cost, the City may request the submission of a signed copy of the actual �ontract. <br /> The und�rsigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in �trict accordance with the ordinances of the City and the regulations of the S ate of <br /> Minnesot�a, and certifies tha all statements made on this application are complete, e and <br /> correct. ' <br /> , �i <br /> �---- � <br /> ,/ ��� <br /> Applicant��'s Signature: Date: / � �i <br /> I�� <br /> � <br /> iil <br /> � <br /> I� <br /> I <br /> 3 <br />