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t <br /> c.L.�w �' i - . c `°i1' 6 c. z 1. R ^ } i #i p ;, �� .:1 n -- t ,. 7 <br /> . _-iS,ta .,�4 : k psi ef, :$'a�. � `mat � {� ft' <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 936 . uv x.0125$ (ptol ' 1a <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE p ? (_�J (' )� <br /> 5a 13 6 • (..)0`� x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 114. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> II • <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 /> Ifi:5Z,c' ,,*,,,;1Fs7a„ nes-.i1>:. 3t<..,..c .. ti.. .^ ..,y....... : b., ,-._,r ...._....rk.. �, ,._ ., , <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 or.' ,,ces of the City and the regulations of the State of <br /> Minnesota,and certifies that all state,ifade on this application are complete,true and correct. <br /> Applicant's Signature: AM Date: 9/(1 t(/ <br /> 3 <br />