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. <br /> . <br /> �; < t �� ,._. . _. . <br /> � � � -... ��� � m, <br /> � � .�,? a � � �� u.�.: <br /> tf above does not apply;follow guidelines below: <br /> 1. CONTRACT PR10E *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �l 3 3b X.oias $ l�f/.�D <br /> ( ontract price) (minimum 550.00) <br /> 2. STATE SURCHARGE I��3�� <br /> x.0005 $ ���P� <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ^.� <br /> 4. TUTAL PERMIT FEE(Add Lines 1-3 Above) $ �'�`73? <br /> • * CONTRACT PRICE or JOB COST means the actual or escimated 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 instaliations are furnished by <br /> the 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 <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> '�'�a'� a �,. x""�,, � 4� ,� � � w � <br /> "�'.��:;'t'+T '�'i u�� ���� <br /> The undersigned hereby applies to the City for issuance of a Plumbing 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 fhis application are complete, true and <br /> correct. <br /> � <br /> Applicant's Signature: �.U��� Date: ���cg 7�` <br /> 3 <br />