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Mar041311:37a ; Preferred Plumbing, Inc.l � 952-447-5764 p.4
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<br /> If above does not apply;follow guidelines below:
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<br /> 1. CONTRAG'T P ICE *is 1.25%of contract price with a(Miniraum Fee of$50.00)
<br /> 5,000.00 x.o�2s � 62.50
<br /> � (contmct pricc) (minimnm Sa0.00)
<br /> 2. STATE SURC ARGE rj,OOO.00 2. 'JrO
<br /> I � x.0005 $
<br /> (contract pricc)
<br /> 3. POSTAGE&HANDLING(O �ly on ail-I Applications) $ 2.00
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<br /> I ��. '� ' � � � 65.00
<br /> 4. TOTAL PERMIT F��(Add Lines If3 Above) $
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<br /> ■ * CONTItACT' �i�[CE or J08 COST means the actual or estimated dolJar amount chazged for the �
<br /> pennitted work including materials,labor,profit,and other fixed costs. [t is the amount to be churged
<br /> to the customer for the work done. If any material, equipment, labor or instailations are furnished by
<br /> the awner,tenant or any other parry, the reasonable market vatue of such items must be added to the
<br /> estimated cost or contxacl price for p it fee purposes. In the eveni ths►t there is a dispute on the
<br /> amounk of the job cost, the City may equest the submission of a signed copy of the actual contract.
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<br /> i The undersigned hereby applies to the�City for issuance of a Plumbing Permit, agrees to,do atl
<br /> work in strict accordance with the or inances of the City and the regulations of the State of
<br /> M�nnesota, and ceRi�es that all stat ents made on this application are complete, true and
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<br /> correct. �
<br /> A licant's Si ature: � � Date: O3/O4/�3
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