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. . � <br /> � � .�'� ='�►� �,�s:'';k�::5:�`'�:�:i <br /> t r'•. <br /> . �:�.:f. .���.::xr:��;;P. <br /> .r• <r,� <br /> If above does noc apply;follow gu��s below: <br /> �N��p�� *is 1.259�,of contracc P��a�M�nimum k'ee of S35 00) <br /> 1. o c7 <br /> � D� _ x.OlZSS <br /> (onrxt prioe) (t+nnietu+m S3S.00) <br /> Z. STA'�SIJRCAAR� "Add t�Statr Bldg Cade Div.Surci�rge(MiOi�nsm Fe�at SSO) <br /> x.0005 S <br /> ������ (mininwm f .50) <br /> 3. POSTAGE&H�1D�-1NG(OdY on Msil-In ApplicatioAs) s•1'S�. <br /> 4. TOTAI.PERIVIJT��E{Add L�s 1-3 Above) s <br /> � * CpT1'tgpC.~T PRiCB or 10B COST mGans t6e ac�a�l°r ati�►ted d°il� ��c charged for the <br /> pemuaed a�ork incl�ding�maurisls,laboT.Profit,and od�cr fi�d coscs. It is the smouni to ba chsrgad <br /> to tbe cuscomer for the work done. If any maia'ial,uiuipme�,Iabor or i�aalauoas ue f�nished by <br /> the owner,tenan�or aay other partY,ti�e reasonable marke�value of s�h items must be added to the <br /> esrimaced coss or coa�race Price f°r Pe�r fee purposes. ln�x aveut ihat�here is a dispute oa the <br /> anwunt of tht job cos�,dte Cicy tnay�requ�st the s��sjt°n of A signed copy of th�e accusl con�ran• <br /> • +*'Ihe STp►TE SUttCHwRGP is.D005 af the contcect prue unda�1*000.000°r 5-50-whichever is <br /> �eates, Fa�veluaaons oves$1.00D,000 cail rhr Biriidia,�Dqurnment at(952)249-4600 for the price. <br /> �� <br /> ��r.•p ��4�PP�I���N;:EK.C�1���:.. �•:�• . ;:,, <br /> '�a:;j'a..C..'�'�''�'f�;'',•.'i5` �j�!V' ~�' +.''!I'::^: <br /> The un�rsigaed hereby applies to the City for issuance of a Plumbin8 permit, agrecs to do all <br /> work in saioi aceord�e ""'� �i'� °��`'� of che Cicy az►d the regulatiaas of the Stau of <br /> Minnesota�, and cerafies ihat all scatemen� made on chis a�pplication are complete, true and <br /> aorrect. <br /> ApPlicant's Signanue: Date: ` - O Z <br /> 3 <br />