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��������M.���ti.r'��i J.iJl`{�� t �,p w ?.;.„ <br /> . _ . . ,.,,° <br /> ,r , , <br /> - . . ,�� ..n, �i: <br /> .� � <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> °'' Z 5 <br /> oZ �� X.or2s$ / � � � <br /> ( ontract price) (minimum$50.00) <br /> 2. STATE SURCHARGE �p . Z>� <br /> ' x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANllLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add L,ines 1-3 Above) $ /� � � S� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar ainount 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 aze furnished by the <br /> owner, tenant or any other party, the reasonable mFu-ket value of such items must be added to the <br /> estimated cost or contract price for permit fee putposes. 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 /> ' "���-1'�T���A.�;'P�����P�:�C��'�Ql?��1��'rI�E��NT '. <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 a.re complete,true and correct. <br /> Applicant's Signature: -VtJL�,�� Date:� ��' �� <br /> 3 <br />