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'� <br /> � <br /> � ,{y+�'� T <br /> + �:���{ � r s�,.a � ���.1���� ���V����3��� ��5����i���' ,���������,E M1F 9 ���;� � $ s���. <br /> F� - <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> X.oias$ � If�d 6 <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 cha.rged 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 /> ' �` ` �����I;�" �������'1�,��.'�;��,�k:��`.���1��� `�` S:; <br /> ���; � ��� � <br /> u� .�t� �. � <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 s ents made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: - Date: ��'" �� '— � `T <br /> 3 <br />