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From:Metro Home Insulation & Water 763 441 6618 12/01/2017 14:11 #114 P.004/006 <br /> �.. ym'weJ„ �S�'x,.x.G r� � � ray®5r.�m �q 'n�pjr e :"Ci�K,r 43 k .r•" �` � y a <br /> _. ._ —.: ,,.e`_..oaur4=s - a�'� e_9 ta6� @ Y;�r�t�`6.Y'�i,,�l<5K�' 7�•`ti:.�r �^ +•Yr t -. 4 ,��.;.! <br /> .. ... .,.«a, _,., .., ._.,,.- ..-.� _ ..., �-».r'r� 5•s.� `e^mac ,,. �. <br /> I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 74 a°C)21-14( <br /> r( b'. x.0]25$ 5000 <br /> (contract price) (minimum S50.00) <br /> 2. STATE SURCHARGE <br /> ‹:77'46.°t) x.0005 $ I .3-7 <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 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 fee 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 /> •m <br /> ,. v l`:41 y ) 1`'�?.-::106;-4 .4.0,4,?. s r - :ice c` - :..� <br /> t. <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 .- . this application are complete,true and correct. <br /> Applicant's Signature: % <br /> Date: a II/ 17 <br /> 3 <br />