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' ` ' F��'�� : �:��:C`F3T.��UNS <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> D <br /> G�toc� G� X .o�2s$ � O � <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE Od ZC7 <br /> G�oo X .000s $ 3 � <br /> (contract price) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 2 C� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ $ 5 <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. [t 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 /> 1V�'�(�HA�T�C�kL P����"FAPPI.I��'"�fl�xl�C�REEI�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 ordinances f the City and the regulations of the State of <br /> Minnesota,and certifies that all tat ments this application are complete,true and correct. <br /> Applicant's Signature: Date: � " s ` �� <br /> 3 <br />