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�• <br /> � <br /> • <br /> � .� N.'�Ff5 .�� aYy°x t .. .ya.. <br /> r. ,w: a r , _. _ <br /> :: . .. ��,j� :'n' a-, �£f fr.' r A <br /> , ^ <br /> - <br /> , .,�� » 3� r , , . .9�. ,,�{' <br /> "� - y.'$.'r <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �{'( ��� x .0125$ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (contract 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 /> �. r <br /> � :, . , - . <br /> 3- .'�� .� ..W�'�,ry.,, : '., ;�� _ ' .. �. �.� xf.+, ,.. . - <br /> -.4-� <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 statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: ` � 3'"�S <br /> 3 <br />