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� r^ � i'����' � ���.�� k i �, r � t; h <br /> � x, �� <br /> 1. CONTRACT PRICE '"is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �'?��. �C� X.a�zs$ �� � aC� <br /> (conhact price) (minimum$50.00) <br /> 2. STATE SURCFIARGF y�� �j <br /> - �� ��1 x.0005 $ • ✓ <br /> (contract price) <br /> 3. POSTA(iE&I-�ANI:)i,ING(Only on Mail-In Applications) $ 2.00 <br /> ._....�)- �� <br /> 4. TOTAL PERMTT FEE(Add Lines l-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST meam the actual or estimated dollar amount charged for the <br /> permitted work including matcrials,labor,profit,and oLher 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 fiunished by the <br /> owner, tenant or any other �xlrty, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for pennit fee pwposes. In the event that there is a dispute on the unount <br /> of the job cost, the City may request the submission of a signed copy of the actual conhact. <br /> , � °".' �,�1:�'°-_ ' ,*�"�.'�1���'t"� �+`p` s` r t� <br /> � , <br /> 4 S `r I <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 regula6ons of the State of <br /> Minnesota,and certifies that all statements made onthis application are complete,true and correct. <br /> Applicant's Signature: (�,� Date: • �p � �� <br /> 3 <br />