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�r <br /> , � �� <br /> 1 <br /> . . ,.. .�. . ...� .,., . , - , <br /> n �ry,a <br /> 1. CONTRACT PRICE * is i.25%of contract price with a(Minimum Fee of$50.00) <br /> G'3sv3. �a X.o�25$ r7�`.3 - �� <br /> (contract price) (minimum 550.0(1) <br /> 2. STATE SURCHARGE ��5�3 '�v <br /> x.0005 $ �� ` 7 <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ , p <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � p�� ' � <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. 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 /> The undersigned hereby applies to the City issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ord' of the City and the regulations of the State of <br /> Minnesota,and certifies that all statem �t1►is application are complete,true and correct. <br /> Applicant's Signature: Date: � <br /> i <br /> I <br /> 3 <br />