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02-08—'18 12:07 FROM— T-499 P0003/0004 F-934 <br /> ^`,o- f �.-�-�c�+.�J+'rn'7n,+....r _t, �. �"^m'i7�^^7'�yG�% 4`i fi�rr nprV ya T�7'�'a� <br /> Y eL"1"�yi��,� :', t ,y, rk'�ff! i� tw -5.�.5�',p a ..,..,.( ,.., :0 ft ~y c��� ,:: �' `� �a t:; !y�:c <br /> 1. CONTRACT PRICE *is 1,25%of'contract price with a(Minimum Fee of$50.094, <br /> b1.7 x.0125$ <br /> 'contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE Z <br /> y9 Lg7 x.0005 $ 2 <br /> / (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ <br /> "1 7 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 55 <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 /> Fz f�.'X���k�,��i:..$y'�ii� 4n>'amforno,Aal. t. •Qv.4 <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 ..► ication are complete,true and correct. <br /> Applicant's Signature: / . Date: <br /> 3 <br />