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Ja . 10, 2011 3:08PM PRACTICAL SYSTEMS No. 2753 P. 4 <br /> # , . <br /> I <br /> 1. CONTRACT PRYCE s is I.25%of contract price wi�h a(11�19nimum T�ca oi 550.00) <br /> 4�o.do �.0�25� 5o.aa <br /> (tonl�au ptice) (minlmun�$50.00) <br /> 2. STA,xE SURCHA,RGE � `'{.�O - /� <br /> a V1 x A005 $ � �� <br /> (coatmcl price) <br /> 3. POS'CAGB&HANb�,iNCr(Only on Mai1-In Applications) S 2_00 <br /> 4. TOTAY,p�RMYT�'��.(Add T.ines 1-3 Above) 3 �'�� <br /> ■ • CONTRACI'PRlCE or JO� COST means the actual or estimated dollar amount cherged fpr rhe <br /> permiltcd wark including matcrisls,lebor,profit,and other fixed eosts. Yt is lhe amount to be charged <br /> to thc customcr Por the wark done. If any material,equipmtnt,labor or inslallalions are fumisl�ed by the <br /> orvncr, tcnant or any othcr parry, �hc rcasonable market value af sueh items must be added to the <br /> cstimatcd cosl or eonlrsct pricc forpermit fcc purposes. Tn the tvent that tliere is a dispule on 1he an�ount <br /> of thc job cost, thc City may rcqucst lhc submession of a signcd copy of We aclual conttact. <br /> The undersigned hereby applies to the City'fo�r issuance of a Mechanical permit, agrees to do a!I <br /> work in strict accordance witli We ordinences of tlie City and the regulations of tlie StaCe of <br /> Minnesota,and certifles that all statements made on this appliCatipn art complete,true and correct. <br /> Applicant's Signature: '` < Date: ' + �Qy�� <br /> 3 <br />