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03/18/2016 FRI 18: 5a FAx 612 822 5408 A1' e Mseter plumbimg �007/007 <br /> � , . . • <br /> �� <br /> 1 a �, k �rr, �J.► r '0�',�O' '41 <br /> If above does not apply;follow guidefines below; <br /> � 1. �Olv1CRA,.C�I'JPJftIC� "'is 1.25°�of contracc price with a(Minimum�'cc of 550.00) <br /> p��UQ x.or2s� ��I'� <br /> � (conlracl price) (roiNmam 550.00) <br /> I' 2. STATF SLJRCRARGF, ��.[� C7 <br /> � x.0005 $ � '�D <br /> { (wntcacc price) <br /> ' 4. '�O'�A,�,P�It1VQT T�E(Add Lines 1-3 Above) � • I L/ <br /> • * CONTRACT PRIC� or J0� COST means the actual or estimatal dollar amount charged for the <br /> pern,itted work includ;ng mateiials.labor,proft,and other fixed costs. It is t�e amount to be charged <br /> ; to d,�customer fox the work done. If a�►y material.equipmen�,labor or ins�llazions are fumished by <br /> ! tlte owner,tenant or aay other party,the reasonable market value of such i�ems must be added to the <br /> � estimated cost or contract price for permit f�e purposes. ln the evcnt that there is a dis�putz on the <br /> � amouet of the job cost.the Ciry may requesn the submission of a signai copy of the actual contract. <br /> The undarsigned hereby applies cp thc City for i3suancc o£a P�um�bin���crmit, agn:cs to do all <br /> work in strict accordance wit�i the ordinances of the City and th� regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Si tu Date: � <br /> 3 <br />