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. � • � <br /> If above does not apply;follow guideiines below: <br /> i. CO�V'FR�CT PRIC,� *�s I.2S%of contract price with a(Minimum Fee of S5U.00) <br /> ` ih��`�U.�c� , X.oias$ 1�?_.,_�. iJ� <br /> (cornrect price) (minimum$50.00) <br /> 2. STATE SURCHAR� <br /> I�I'�C, •�;i C.! x.0005 $ �.�� <br /> (contract price) <br /> 3, POSTAGE&HANDLING(Only on Mail-In Applications) $ ..�-�p— <br /> 4. TOTAL PERMrI'FEE(Add Lines 1-3 Above) $ l �-'j� � � <br /> • * C4NTRACT PRICE or JOB COST means the actual or estimated doliar amaunt charged for the <br /> permitted work including ma.terials,labor,profit,and other�xed costs. It is the amotuii to be chargeci <br /> to the customer for the work done. Tf any material,equipment, labor or instaliarions are furnished by <br /> the owner, tenant or any other pariy, tlie reasona.ble market value of such items must be added to the <br /> estimatsd cost or contract price far pertnit 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 actua[contract, <br /> The undersigned hereby applies to the City for issuance of s Plumbing permit, agrees to da all <br /> work in strict accordance with the ordinances of the City and the reg�xlations of the State of <br /> Minnesota, and certifies that all statements made on this applicatian are compiete, true and <br /> correct. <br /> Appticant's Signature: �_�--��()C,t. -���'�L�. ,�� ',�,C.k�• Date: (/i�(� � 7.�1.' <br /> � <br /> I <br /> 3 <br />