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«r - ''_:&' ��' � -- �- .�-re - <br /> ..,r ._ .� �., ., . . <br /> '��,- '��"���a-�' -�r �°��a. - <br /> 1. CONTRACT PRICE *is 1.25%'of contract price with a(Minimum Fee of$50.00) <br /> ���V x.0125$ ( QZ ��V <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCIiARGE �OO� � � <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) $ � � , Q� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or esrimated 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 /> m .� <br /> � A <br /> ..;���¢.. <� ' r.�� <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: CY ` Date: �J �� �� �� <br /> 3 <br />