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. � <br /> ���# °��-..�a� � '�,�,... -,��+�M�� .,-€4 ��„ ya+ �,1�,� : F�: <br /> < <br /> ; F <br /> � .R, � <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ���Tr �`Is . �'l� x.0125$ ��3. U�P <br /> (contract price) (minimum$50.00) <br /> 2. STATESURCHARGE <br /> �s. UU X.000s $ l a- 1 a— <br /> contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �j�- � O <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 the <br /> owner, tenant or any other party, 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 amount <br /> of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> � R✓.�'�Y'� �.���JF�� ��.�.�' ., Fx� �F.u.:�� a�, 1',�'�. <br /> e. <br /> .. . .,,:: ; s .�;, „�,.✓ ,.:.. .... � ����� ;: ., ., ,�. . ';�s,, <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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 correct. <br /> Applicant's Signature: Date: G 1"�—`� <br /> 3 <br />