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JAN/17/2018/WED 01 :42 PM Flare Heating FAX No, 7635423101 P. 004 <br /> ANgtantanktraSIUMIAMZOMVIOAVAMMINaria <br /> 1, CONTRACT PRICE *is 1,25%of contract price with a(Minimum Fee of$50.00) <br /> x.0125$ Com'•S-7 <br /> (cdtttrnct price) (minimum$50.00) <br /> 2. STATE SURCHARGE2h <br /> / V / x.0005 $ D <br /> (coatract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5 Y <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 the <br /> 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 fce purposes. In the event that there is a dispute on the amount <br /> of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> �7y^y��i,�S�,�-Mrt°��." �'-,.q' 'ni'i h �"'�� r""'y xJ%Y��"'�.��'��-' '' ""+F J .fj�-ru 7 .. <br /> i% r'$•rp moi' �y v A r F a v v �,.�"ti� '"�+Y <br /> �t a�?�12F1- �1�GrIE �sb''�,'".'.2. , �at�.' �� r , n> ero . rlW4J ?ley .r sa <br /> .z�� �ranrv!, mv....n,.f a��.1s1� i.a']..�':n <br /> The undersigned hereby applies to the City for issuance of a Mechanical 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 correct. <br /> Applicant's Signature: <br /> ' / Date: // 7 //, <br /> 3 <br />