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. • <br /> . ' <br /> '���u`�x�".� °`a�`��,�i:� �_ �" '�� 'a at�:. �''���, f��"����F¢����'�`�, y'*��w�,',��3��; <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 5. o0 o X .0�25$ �Z .Sv <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE `�-�, < <br /> �, V V V x.0005 $ �J� <br /> �ontract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� �� <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 <br /> the 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 <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> � � � � � , � � _ � ��; <br /> . ,. <br /> �'t ���s�������sr�t'` x `.:�' , �, � �' <br /> The undersigned hereby applies to the City for issuance of a Plumbing 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 state ents made on this application are complete, true and <br /> correct. <br /> A licant's Si nature: Uv" Date: � I � <br /> PP g - V <br /> 3 <br />