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. • <br /> �� k � � ... .. x .. . <br /> � j .. <br /> , • . , ... • .. '�`� : <br /> i ,> � '�h� � F c;��,- _ ,.. 4 . ,€`4 e. "V4<' . a��',� � � #r,.�� ��;: <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract p�ice with a(Minimum Fee of$50.00) <br /> �L-i/�-j� !TU <br /> fUV x.0125$ <br /> (contract price) (minimum$50.00) <br /> 2. STATESURCHARGE <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 /> F Y� �9 ""�, i`, yN�"�'� <br /> .. . : , v ... :,'. <br /> � y...� n. . i <br /> . <br /> "'� �r.. n: � �d, ;:�' 4 .. ;_' c r R�. .. .;. � . ,� �r. . ' .n� �f 1�,�.'� �' r p�r <br /> w , <br /> � f �. �� ,� i .. <br /> > . . <br /> , . . ..�r i ..�,r d s <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 /> � <br /> Applicant's Signature: d�� i � ,�/ � . �—' Date: /f�� � �s' <br /> 3 <br />