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. <br />. , i <br /> . <br /> , <br /> , ' , ���,�.' � <br /> �•..< . . ,:. ., �:.r.�.._ . .:_. ...... . .� �� ..... ..:.�.:. ..._...:�' .._ :._.. ..� � ��� <br /> a <br /> .�. .... . . .. . . ... .. .a ,,, . <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.0 ) <br /> CiC.CJ_ <br /> x.0125$ <br /> (contract price) (minimum$5 .00) <br /> I 2. STATE SURCHARGE QD� <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 /> ' I* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charg for the <br /> �ermitted work including materials,labor,profit,and other fixed costs. It is the amount to b charged <br /> �o the customer for the work done. If any material, equipment, labor or installations are fu ished by <br /> the owner,tenant or any other party,the reasonable market value of such items must be ad d to the <br /> �estimated cost or contract price for permit fee purposes. In the event that there is a dispu e on the <br /> �mount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> x � � F <br /> � ; ��, � �.; . . ...... : ��.� <br /> . <br /> � <br /> The liundersigned hereby applies to the City for issuance of a Plumbing Permit, agrees t do all <br /> wor' in strict accordance with the ordinances of the City and the regulations of the tate of <br /> Min esota, and certifies that all statements made on this application are complete, t ue and <br /> corr ct. <br /> Applicant's Signature: Date: ���Y � <br /> �` ���� �� <br /> �;;��'5+�� �t���� ��&:' <br /> , �. �_ �,- <br /> 3 <br />