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t'Re" ... .: { ,. h, 5 ^!.r. t '..€:.. 3 b .'. btl '..R +.R`i fre}' ^t t.FT {Z.`-',::".:41:1,W <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 0000 x.0125$ 7512' <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURRHARGE ,;; <br /> 60QD <br /> x.0005 $ `- <br /> (contract price) - <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 0 <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 /> y;' • o'7rw `y,,."ef. ` -wirry'`Tc L rcl '^ i ' .`;;-rAnt g'r,•: "s _�' '; ,€,T«�,y,+'`s s'WJ',s <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: D 1/Z 9 /2.0 I tP <br /> 3 <br />