Laserfiche WebLink
09/18/2013 WIID 14: 30 PAX 763 473 8565 5abre Plumbing & Heatinq �f007/007 <br /> If above does not apply;foliow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50,00) <br /> (�nL1�.dTJ x.oi25$ ��I�,•�� <br /> (conVact price) (minimum 550.00) <br /> 2. STATESURCHARGE <br /> I`�1�8�9.G0 X.000s � "l �S'� <br /> (coniract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2�0 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) �__ �Q�.��j <br /> • * CONfiRACT PRICE or JOB COST means the actuai or estimated dollar amount charged for the <br /> perniitted work inc(uding materials,labor,profit,and other fixed costs. It is the amouitt to be charged <br /> to the customer for the work done. If any material,equipment,labor or installations 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 pecmit 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 /> 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 certi�es that aIl statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: �;�-Q,�tLL�,( ��t,l}�l,�•�(�.. Date: g•�1���.0/� <br /> I''' ' <br /> 3 <br />