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f <br /> � _-;�.�. .°.,� ' PERMIT�E���L,CUL1�'���)�l' � �-�`��� �7 �; R$500 40�W,.'.,.,, �,�, J �,;' <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is I.25%of co��h•act price with a(A4inimum Fee of$50.00) <br /> L'�7 <br /> (�3 S—�`� X .o i Zs � 1� . �� <br /> (conuact price) (minimum$5p.00) <br /> 2. STATE SURCHARGE ��. <br /> 1, �3 S U X.000s $ <br /> ' ��o��«a�r,,������ <br /> 3. POSTAGE&1IANDL[NG(Only on Mail-[n 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 /> ��ermittcd work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the custonler for the work done. If any material, equipment, labor or installations are fuinished by <br /> the owner, tenant or any othcr party, the reasonable market value of such items must be added to the <br /> cstimated 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 /> ' -::FLUM'BING'PERMIT APPLICATION AGREEM��,T ` <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance witl� the ordinances of tl�e City and the rcgulatious of the State of <br /> Minnesota, and certities that all statements made on this application are complete, true and <br /> correct. <br /> � <br /> Applicant's Signature: � Date: ��� �� <br /> 3 <br />