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3 • <br /> a - t ry '" ,ma x .:tww,m..A,-- ..ti It ?'�. s .., 1;n .,''. .a. <br /> 1. CONTRACT PRICE *is 1.25%of�coonntract price with a(Minimum Fee of$50.00) <br /> /S 0°O bei x.0125$ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <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) $ /Cf 5, <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 /> 'g 77"77,77:, <br /> +a,�Mr r«q yes x .kg s-r ,t 'y .,m. v°e* 4n '.-'s 'y s <br /> `a irt,„ 'P.z. .-.. -y, cc....... ...-0wm7 ,: .w..s�"bo�re,y..l ,. T X15 �'. ,.. " ,`:` °aK4 pimi.. <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: L6 - Date: J �� <br /> 3 <br />