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05/06/2014 TUE 12: 29 FAX 763 473 8565 Sabre Plumbing & Heating 0004/007 <br /> a�t����,�o�'ts.S�4'L��, y e +.��" �:w.u .'�C(��i '�t P R /c� ¢ s., c:Y n"z- e cF '�n mkt' `�,���``."a`" <br /> 1:02 -3 �'Izwk',.�,?h..d07.1 a tot �) Cf�E ✓l. �rEC(�6 -s, x ' .c .,.rQ�kcr�tii x i�_ oa�.�`a•'��SaY;., •k\> <br /> .�.S.e.�-_,s.Y.n.��-..,.. x...4�-Ss��� �..� i .c� t d5...a.� a..�/�L�.s��un[ <br /> If above does not apply;follow guidelines below: <br /> I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> IQLL-11) .O0 x.0125$ <O5 <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE <br /> 1,0,44"R D O x.0005 $ t-1.2A <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ j 2 S•1'5 <br /> a * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material,equipment, labor or installations are furnished by <br /> the owner, tenant or any other party,the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> >,...... F...,:'. trlw,...t.�ytg;L,.. `�a%' el C <br /> ...�.-. -�4.e k �_ii i C. 1...,�r.+i.�w✓a,..�,..+..�u... <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: 4.1)11 __NOM/0- Date: 5- Le- 2-01 <br /> 3 <br />