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09/12/2017 TUE 7: 38 FAx 763 a73 8565 6abre Hedting 6 Air Cond f�047/007 <br /> , , <br /> ). 1 1 i .4 f�T,'I��T� T���� <br /> �,��' uGi���`,�1"tyi�'� dl�..�j��i.L.�� �'�d�{�Rii., <br /> 4 a�: '� �•'��'�+t pr s��. <br /> iJ'nbovc duus i�ol npply,follaw�;uiduliucs bcl<�w <br /> I. CUN'I'NA('1'YH!(:�; * is ].25°/u o�'cot�li�ct prir.P�virli a(MinernEuu�+ec�►f$SQ.6�i) <br /> iAZ�Q.?�...M,.. x o►Zss..._1..��,�.g_.__.__ .. <br /> (eonlrnet pricE) (mimmum:65(I.UU) <br /> 2. S'1'A'!'1+',_ti1JR_.(:HARC:� � � <br /> IA Z IO � �(G _x.0005 �,...._—"LIP..�__.. . . .._ <br /> (con(racl pn.cc) <br /> 3, POSTAG�'&HANAx�NG(Only on Mai1�In Applications) � 2.40 <br /> 4. 'I'[)TAL���2�'�'k'��:(Add Lii�es 1-3 Abqve) $ �..S.Z.• �,� <br /> ' • s CONTltACT 1'I�TCL or JOB COST means the actual or e.stimated dollar amount char�ed for the <br /> ' permitted work includit�g taaatetials,labor, pmfit,and othes fixcul costs. Jt is tl�e amc�imt t.o he cha.rged <br /> � to the customer for the worlc done. IF a�iy a�aterial,equipme�nt,labar or installations are ftamished by <br /> tho owncr, tcmant ar any other�ariy,the re�onablo markct velue of such iteii�s must be added to the <br /> iestimated cost or eontraet pcic�e for perrnit fee pur�oses, in the event that Yhere is a dispute on the <br /> amount of the job cost,the City may reqvest the submission of a sigi�ed cc�py of the actual contract, <br /> The undersigned hereby applies to the City for issLiance o.f a '��umbing Pca7nit, agrees to do a.i( <br /> work in strict accordance with the ordinances of ths City and thc; regulalioiis of t1� State ut <br /> Minnesota, and eertif"ies that all staterme�lts made or� thas a�plicaiion are complete, true euid <br /> cprrect, <br /> ApplicanYs Signaturc; _��1�Lr ��11.1A� �ate; ����•�Ol.`1 <br /> -� <br /> 3 <br />