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. • <br />' � a <br /> . -. <br /> If above does not apply;follow guidelines below: <br /> 1. CON'I'RACT PRICE * is 1. %of contract price with a{Minimum Fee of$50.00) <br /> '� x.0125$ � T <br /> (contract price) (minimam 550.0� <br /> 2. ST.�I,TE SURCHARGE � /j-- <br /> rr� X.000s s <br /> (contract price) <br /> 3. POS'TAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ �l � <br /> • * CONTR;ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work inctuding materials,labor,profit,and o�er fixed costs. It is the amount to be chargel <br /> to the customer for the work done. If any material, equipmerit, labor or installations are furnished by <br /> the ownet,tenant or any other party,the reasonable market value of such items must be added to th <br /> estima�cost or contract price for permit fee purposes. In the event that there is a dispute on th <br /> amoum af the job cost, the City may request the submission of a signed copy of the actual con <br /> � ���'k� �k n � `�� ��,„� <br /> � �,: ��.- �� <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do 1 <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesot�, and certifies that a11 statements made on this application are complete, true d <br /> correct. <br /> ', ��� `..3 <br /> Applicant s Signature: Date: <br /> 3 <br />