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QG/23/2018 KON 1Q: 52 FAx 763 473 8565 6�bre Hedting & Ai.r Cond f�006/009 <br /> ; �Ii^F,i��°p�4'f,� ���i�,�.'j�'Y �r,51x�'��'`piil����������e i' y 9 R, R: i�jN}� j M'� �� �.h!,����","'� i�l�•� <br /> 6n7Pu'v„vn,.\�lkatinf��i!.5:%n��.�,+111����4i(Ii�AlPANA�# F, � n� ��.��H,�,ti:A,y�j°r^'u•� �.'°dhL,l'�au'I{�N1'.Is.n„m�.�,� <br /> 1. CONTRACT PRICE •is 1,25%of contract prico with a(MlWmtun Fee o[S50.Op) <br /> _ „���.01 � x.0125 S �„��•� <br /> (contr.�t prlce) (minlmom SSO.AO) <br /> 2, S'�ATE SURCAARGE <br /> ��1. 0.��x.0005 $ �1�� <br /> (conu+ct pricc) <br /> 3. POSTAGE&FIANDLING(Only on Mail-In Applications) S <br /> �. TOTAI.PERMIT FEE(Add Lines 1-3 Above) � ��)�.bD <br /> ■ " CQNTRAC'C PYiYCB or JOB COST means the actuel or estimated dollar emount charged for the <br /> penmitted work including rnateriala,labor,panfit,and other fixed coats. xt ia the amount to be charged <br /> to the eustom�w�for the work done, Tf any material,equipmant,labao�or inatallations are turnished by the <br /> ownor, tenent or sny other pa�ty, the reasonable msrlcet value of such items must be addad w tha <br /> aetimsted cost or contrect prloa for pennit feo purposoa. In tho ovcnt thst thore is e disputc on the�nount <br /> of the job enet, tho Ciry may requeat the eubmiseion of e eigned copy of the actual contracl. <br /> � <br /> Tht un;dern"signod hereby�pplies to the City for issuence of�Mechanical Pe�mit,agrees to do sll <br /> work in stract accordance with the ordinances of the Ciry and the regulatione of the State of <br /> Minnesota,and c�rtifies that all statemente made on thie application eu�e camplete,true and correct. <br /> Appllcant's Si�ature: ��,u�/ � � Date: `t•��0•�a� <br /> 3 <br />