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. � I <br /> _ • , �il <br /> ' + I <br /> � ��''��������.F..�������ai� ^—���.���������-:�� ' <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$5 00� <br /> '��/ � x.0125$ <br /> (contract price) (mmimum 50 00) <br /> I�� 2. STATE SURCHARGE ' <br /> �(�d x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2A <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JCB COST means the actual or estimated �ollar amount char ed fc,r ?he <br /> permitted work including materials, labor,profit,and other fixed costs. It is the amour.t to �charged <br /> to the customer for the work done. If any material, equipment, labor or installations are f r�ished by <br /> the owner, tenant or any other party, the reasonable market value of such items must be a c�ed to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dis ujte on the <br /> � amount of the job cost, the City may request the submission of a signed copy of the actu l��contract. <br /> FLUl�BTN'G�� .... T�il'T?�I�AT���'��'���1��'T <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees o do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Mirinesota, and certifies that all statements made on this application are complete, 'rue and <br /> cornect. <br /> � Date: ��✓�'�� <br /> Ap�,licant s Signature: <br /> : ' 1��58# FOI"�'ti=i <br /> ,� � <br /> i <br /> 3 <br />