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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � S6O x.0125 $ 9YS0 <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE / <br /> --75 4,0 x.0005 $ 4-7 <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ /6O-cZ <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 /> ..., '^ '-,-". '.a i ',..,3,10-17:11r' x m, -r 4 Vis <br /> 'a },. ' day �A ' • ' pp, i A 9 d f''j i ..7 7 <br /> �« u�.�.._.m�a.,.�..t:. �.. m --- � �,_.. .®.�yid ,. .....,,.>as.*,.�,... i .. <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 ord. anc•: •, the City and the regulations of the State of <br /> Minnesota,and certifies that all statements :de •i 'is application are complete,true and correct. <br /> 11 <br /> Applicants Signatu --4`+ !� _ <br /> 3 <br />