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Mar. 28. 2016 11 :43AM No. 2675 P. 4/4 <br /> CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50,00) <br /> 81 510, o—± x.0125$ /D ✓<' '�`S <br /> (contract price) (minimum S50.00) <br /> 2. STATE SURCHARGE p 511"-Crif <br /> g5��.- -- x.0005 S <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4, TOTAL PERMIT REE(Add Lines 1-3 Above) S //R. <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 /> �.��'�'.SS.1 �i� > �.� VtL SIL•! t ..+AV�Y�r �� 'r�n�.�'o��� e• '�"•,\i'•:'S• ��� ,.A, <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: &)tdOl <br /> PP Date: 0 y <br /> 1.1#1.4%41 Sifitiffttf <br /> 40444 8 I S.-0 ric <br /> 3 <br />