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Sep 16 2016 10:02AM HP FaxPerfection Heating 6517773252 page 6 <br /> y� <br /> 1. CONTRACT PRICE �is I.25%of contract price with a(Mfnimum Fee of S50A0) <br /> x.0125$ <br /> (conh�act price) (minimum SSO.a�) <br /> 2. STATE SURCHARGE <br /> • x.0005 $ ��� <br /> ( ontractprice} <br /> 3. POSTAGS&HANDLING(Only on Mail-In Applications} $ 2_00 <br /> . - � � � <br /> .. . ;, l <br /> 4. TOTAY.,PERIVIIT FEE(Add Lines 1-3 Above) $ .�� ;J� � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimatcd dollar amount charged for the <br /> permitted work including matcrials,labor,prnfit, and other fixed costs. It is the amount to be charged <br /> to tl�e customer for the work dvne. If any material,equipment,lebor or installations aze fumished by the <br /> owaer, tenant or any other party, the reasonable market value of sach iterns raust be added to the <br /> estimated cost or contract price forpermit fee purpoacs. Tn the event that there is a dispute on the amount <br /> of the job cost, the City may re�uest the submieaion of $ signed copy of the actual contract. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Peirnit, agrees to do all <br /> w�rk in strict accordancc with the ordinances of the Ciry and the regulations of the State of <br /> Minnesota,and certifies that all ata.tements made on this appli ation ar�complcte,true and correct. <br /> � <br /> Applicant's Signature: Date: <br /> 3 <br />