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v <br /> 0 <br /> 0 <br /> � <br /> 0 <br /> 0 <br /> a <br /> rn <br /> � <br /> O 1. (:ONT[2AC"1'YItICF. "is1.2S%ofoonvaccpricewitha(MinimumFceoTS50.0U) <br /> � ,�' �QO,�a 5'�.OO <br /> z.0125$ <br /> (contrau price) (�oimam SSO.A0) <br /> � 2. STATF,SLIRCHARGE � t�� p�,i <br /> � x,00p5 Y o �L� <br /> � (cun�act pt icej <br /> � 3. I�OSTAGE&HAIdPL]NG(Only on Mail-Iu Applicationa} �_� 2.OQ <br /> n <br /> r <br /> � d. TOTAL PER�tIT FEE(Add Linr.v 1-3 Abovc) $ �i <br /> N <br /> � <br /> N � "COKFRAC'F PRICF,or]OR C:OST means Ihe actual or eslimatcd dollaz amciunt charged for�he <br /> � gc,�rmiticd ws�rk including mxlcrials,imbur,prufi�,und other fixeil�wsis. it is the mnount lo be ehargod <br /> 07 W lhe wswmer for the�ti•wk du�e. 1£any materisl,�ui�mcny labor nr inslallaliqns are lamishixl by tho <br /> a o.mer,tenani or any ocher parly,the reasonable market value of euch items must be added ta tl�e <br /> estimatecl cost or cm�Gac!priec for pennit fee purposcs.ln ihe cver�t U�at diere is a dis�te an dte amount <br /> of thc jab cost, thc City may requeat the submission of e signed copy of thc acbuel contract <br /> ��:� <br /> 7he und�rs�gned hereby applies co the City for issuance of a Mechanical Fermit,agrees to do a11 <br /> work ut slrici accordanc.� +vith the ordinanccs of tYic City aad thc rcgulations oP thc 5tatc of <br /> Muuiesota,aixl certifies that all statements made on this appiicatian a:e complete,true and correct. <br /> Rppiica�H'sSignature: �f� /���~ ---- Da#e' 1��''f �� ---.-.-. <br /> ��"_"r_""------•--------- — - <br /> (4 <br /> � <br /> N <br /> tt <br /> � <br /> 0I <br /> d' <br /> C9 <br /> � <br /> f� 3 <br /> � <br /> 0 <br /> � <br /> LL <br />