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09/20/2611 02:15 6519948761 JANECKYPLUMBING PAGE 03 <br /> If above does not sEtply;follow guidelines below: <br /> 1. ���ttIC'� 'is 1.259�6 of oontracc price with a(Minio�um Fee of S50A0) <br /> �� x.OI25� <br /> �(a+�Ptice) (minnnom 5�.11� <br /> 2. �'ATE SII1tG7�ARGE <br /> x,0005 S <br /> (�r�) <br /> 3. POSTAGE&HANDI.�iG(Oniy on Mail-In App6cations) � .0 <br /> A. TOTAL��flT FEE(Add Lines 1-3 Above) $ <br /> � "` CONTRACT i�CE or JOS CO3T means tbe actual ao� estimabed dollar acnount charged for tfxe <br /> p�mitoed wo�ic includin�g�natarials,labar,profrt,and other�ixed costs. It is tbe amrnmt to be cher�cd <br /> bn the ca�tnrner for t1+e worlc done. If suy material, �uipmcat,labor a installatians are£wmishod by <br /> the awner,tenant o�any other party,the reasonable markec valuo of such items must be added to the <br /> estimated oost or oonsract prioe for pezmit �ee purposes. In the eve�t that there is a diapute on the <br /> amount of the job cos�,�e City may request the submission of a signed copy of the actusl cont�act, <br /> '�ue uudersigt�ed h�ereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in atrict accordance with the vrdiniances of the City and the regulations af the 5tabe of <br /> Minnesota, and oertifies that all statements made vn this applicataon are c,oznplete, true aad <br /> correct, <br /> � � �- a�-�� <br /> Applicant's Si�ture; � Date: <br /> �,. ��. a� g� <br /> . <br /> � �� � � P��� �� . <br /> 3 <br />