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i <br /> , , . <br /> .::���s�������r��� � - t����� s��: -��c����.o,��x���o:o�oo ;,�sr� s <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of ontract price with a(Minimum Fee of 550.00) <br /> l� � x.0125$ <br /> ( onlract price) (minimum$50.00) <br /> 2. STATE SURCHARGE � <br /> x.0005 $ <br /> (contract pricc) <br /> 3. POSTAGE&HANDLING(Only on ail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1- Above) $ ��� � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,pro t,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any ma rial, equipment, labor or installations are fumished by <br /> the owner, tenant or any other party,the reaso able market value of such items must be added to the <br /> estimated cost or contract price for permit fe purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request e submission of a signed copy of the actual contract. <br /> ;3� �k..1(�z "�"�Y�•�X'M'i1���... .......; T.�.... ,.. ��4?� ` k�'r�v,'Lt�li��1����� C� `"4Y�1�1.�1"ly.J}( '� f'f,t�l� },t��.;:. <br /> , .. <br /> � A __ i <br /> T'he undersigned hereby applies to the City fo issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinance of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements ade on this application are complete, true and <br /> correct. <br /> Applicant's ignature: Date: { � �� <br /> 3 <br />