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� . • i <br />. . <br /> _ ' � <br /> _. �� ���� ......� ._ .�(��T��.$54�7`.�-fi <br /> P����`�. � <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$5 .00) • <br /> •(�t.C/_ — <br /> x.0125$ <br /> � (contract price) (minimu $50.00) <br /> 2. STATE SURCHARGE o�� � <br /> x.0005 $_ _ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ?• � <br /> �� PERMIT FEE Add Lines 1-3 Above) $ <br /> 4. TOTAL ( <br /> ■� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount ch rged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount t be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are urnished by <br /> the owner, tenant or any other party,the reasonable market value of such items must be dded to the <br /> � estimated cost or contract price for permit fee purposes. ln the event that there is a di pute on the <br /> � amount of the job cost, the City may request the submission of a signed copy of the act al contract. <br /> �., <br /> �PI.�C31�I1����?`� ; ': '�����.t��� ��� �G1�E�YvIENT <br /> hereb a lies to the Cit for issuance of a Plumbing Permit, agre s to do all <br /> T h e u n d e r s i g n e d y p p Y <br /> work in strict accordance with the ordinances o f t he City an d t he regu la tions o f t e S t a t e o f <br /> Iv�innesota, and certifies that all statements made on this application are complete true and <br /> cc}rrect. <br /> � ', <br /> ' '; '� � %� 'i-� <br /> Applicant's Signature: Date: <br /> �I <br /> � °; R4S�t �`��"�il � <` .`. <br /> , � � _ �. _.� � <br /> . 3 <br />