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' �� � . � . R.,:br£��� ���iJ��\J�f'�T���� i <br /> . ' <br /> ��. �:�... ' ., a✓.v . '� �� � <br /> ... • �'... �..��. �. �':. <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �2�� 3 5v. l�ti� X.o�2s $ 3��-{.��— <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE <br /> ��, 35a. (lu X.000s $ 1 �- i�7 <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� D ��—I <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 /> � , �.., <br /> i � :�a. � ... :... ���_���������� ,������.�� �, '� . ���5�.,. ' ,.. ,,. ,. �� ���.��. <br /> The undersigned hereby applies to the City for issuance of a Mechanical 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 correct. <br /> Applicant's Signature: �� /� Date: 3 r�����' <br /> 3 <br />