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09/17/2010 08:54 9529222434 SAYLER HVAC PAGE 04/04
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<br /> 1. COkYTRACT PRICE *is 1.25%o�'contract price with a(Mlntmum�ee of 550.00)
<br /> �� D� x.0125$ 2�05
<br /> (��ntract pricc) �mipimum 550.D0)
<br /> , 2. STATE SURCHARGE
<br /> _ <<e�4bp` x.0005 $ B•�
<br /> • � (coniract vrice)
<br /> 3. POSTAGF,&HANDLTNG(O�ly on Mail-In Applications) $ 2.00
<br /> 4. Tp7',,A,L PERMIT F'�E(Add Lines 1-3 Above) $ ��$,2.p
<br /> " " C01vTRACT PR[CE or JOB COST means the actual or estixnated dollar amouni charged for the
<br /> pertnitted work including materials,labor,profit,and oiher fixcd costs. fc is the tunouni to be charged
<br /> to thc customer for thc work done. If any material,equi�ment,labor or inst&llations are�'u�'nishcd by the
<br /> owncr, tenant or any other party, thc reaspnable markct value o�'such items must be addcd to the
<br /> estimated cost or contract price for peenait fee purposes. �n the cvent that there is t�dispute on tkte amount
<br /> of the job cost, the City may request the submission of a sigued copy of the actual coatract,
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<br /> The undersigned hereby app(ies to the City fo�r issuanee of a Mechanical Permit. aurees to do all
<br /> work in strict accordance with the ordinanees of the City and the regulations of the State of
<br /> Minnesota,and eertifies that all staterr►e�ts made on this application are eomplete,true and co�rect.
<br /> f#pplicant's Signatu�e: Date:��-1(a
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