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Nov, 15. 2011 10;25RM PRACTICAL SYSTEMS No. 3876 P, 4 <br /> 1. CON'I"TtACT pR1.CE '"is L25%of conrract price with a(11�lfnfmnm�'ee of$50.00) <br /> �'�C�p.tac� X.o�zs$ 50.� <br /> (conlracl price) (1111n1mu1n SS0.00) <br /> 2. STAT�SCIRC�AItG� <br /> ��5 Y_�•ar�X.000S $ I ,a5 <br /> (Conlracl price) <br /> 3. E'OSTAGE dt T�ANDC.TNCr(Only on Mail-In Applications) $ 2.00 <br /> 4, TOTAL PER11�llT FEE(Add Lines 1-3 Above) S � � •��_ <br /> ■ * CONTkACT PR�CB or JOB COST �neons ll�e actual or escunatcd dollar amount charged for d�e <br /> permitted work including malerials, labor,pro6�,and other fixed costs. It is d�e a►nount to bc charged <br /> to�he cus�omer for tlie wark done, If a��y material,cquipment,tabor or installaeions are furnished by d�e <br /> owmcr, tenanC or a��y o[her parry, tl�e reasouable market value of such items mus� be added to d�e <br /> estin�ated cost or contrac(price for permil fee purposes. In d�e er�ent I�at illere is tt dispute on Uie antounl <br /> of t�e job eost, �he City may request d�e subniission of a signed eapy of tlie aetual contract. <br /> Tl�e undersigaed l�ereby applies to the City for issuance of a MechanicAl Fermit,agrees to do all <br /> v�ork in slricC accordance wid� tl�e ordinances of tlie City and the regulalio��s of the State of <br /> Nrainnesota,and Certifies tliat all stateu�ents made o�i�his applicatian ate complete,true and cotrect. <br /> Ap�liceni's Sig��ature: � Date:� <br /> . <br /> ' � Cr�"IO�`? �� ( � <br /> ��e.s�- i n � <br /> �b • <br /> � <br /> 3:oc� �,n-� ��� �os5�bl� . <br /> C.�,ul� <br /> . Qu ��.ase �a1 � r�e <br /> � � <br /> . <br /> �{'o c�n�'� ,rr� . <br /> �� d� 1 <br /> `�loun . <br /> � <br /> 3 <br />