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0 12-21-2016 16:14 Fax Services i 19522494616 0 4 <br /> ., . .. PE1 hit'":P'E CAL TIQN,S . <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of�,$50.00) <br /> ,L� t� x.0125$ 5t/ ,D0 <br /> iceman price) (aatnl nem$50.00) <br /> 2. STATE SURCHARGE ^�, <br /> --L__) D 0 x.000s $_._.._. • , t <br /> (contract tea) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ . <br /> DO <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 /> :: , ,MECt Ni A EPZINIll'APP ON iON• t'rl l'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 ordinances of the City and the regulations of the State of <br /> Minnesota,and certifies that all stat is made on this application are complete,true and correct. <br /> Applicant's Signature: "\i,'-N,: \,...--k--:...,__a - Date: 2.., , . <br /> 3 <br />