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� ` .� <br /> . <br /> , <br /> � ,, � s. , .� . . � � <br /> ��r � < � A�Y � � � �p ,��,�� �� <br /> �4 r � <br /> ��<v�.,�, �n�� .,�-- � _ ��,+�.. :'�. �r,A..� "�h�,„�r""»,,. _�;:_ <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a um Fee of$50.00) <br /> r (1V�ig��ii... <br /> ��� <br /> � � r � �� x.0125$ <br /> (contract pr�ce) (minimum 550.00) <br /> 2. STATE SURCHARGE <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 /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other parly, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> � � � � <br /> ` tl ` �r�kX� ''R 7 � &3 ',�`'� '�3�r� ��a -$' S.b;': <br /> s., � ,��P. �,. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: % 2 l� <br /> 3 <br />