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Feb. 5. 2018 12: 17PM PRACTICAL SYSTEMS Nc. 4078 P. 4 <br /> >-- . .. .. '_ '.r oil kri ar �7 <br /> ,r <br /> 1. CONTRACT PRICE *is L25%of contract price with a(Minimum Fee of$50.00) <br /> 13yi°3 x.0125$ LipSAOo <br /> (contra i price) minimum SS0 00) <br /> 2. STATE SURCHARGE ' A, x,0005 $ 11'GO <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2 00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 4 14 1 d O <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 /> 11 P17.11!: <br /> '1 1 ➢1 �f y c �) ]D1 Y C f P <br /> .. 11':��I�I �IIt-\. 74_.� ��_'Jl�ll1 .�.�.�il�' V' f Jl idl_ � {�f�ll �Y IAL�4�Lr elf b,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 made on this application are complete,true and correct, <br /> Applicant's Signature: Date: cQ111 ) <br /> 1k\ o ONSI'Q11 1.149 q du c.: war-, 1 (can t4 K V i9o5, <br /> V ex14-1 <br /> n gess <br /> ers I civ r‘t f4 rc. (DOD h(-Ma ;e.r <br /> � <br /> e <br /> 3 <br />