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03/02/2018 FRI 13: 06 FAX 763 473 8565 sabre Heating & Air Cond 2007/007 <br /> ,,, 1, • <br /> 7�L1 -nr ,�="'�a 11, ' <br /> 'h7'r,;• 1 ;mr.�ll?.,ra,lfr" <br /> , d <br /> I CONTRACT PRICE is 1.25%of contract price with a(Minimum Fee of S50.00) <br /> I2.-115.00 x .0125 $ <br /> (conhtutt price) (udnimum 9UUn <br /> 2. STA'L'E SURCHARGE <br /> ,0005 (I b - <br /> (c<tnuac!price) <br /> 3. POS'rAGIJ&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ )(p1.ND <br /> * 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. If is the amount to be charged <br /> to the customer for the work done. If any material,equipment,labor or installations are furnished by the <br /> 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 amount <br /> of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> T',^�7 1',l 1 f n1 1 f P^. 1 9 ,4 it tl]+ L(ill fJY!' Ay Yt F f Lf fT, <br /> FS+.y� {{ t YA�p11.�.a l pL! � °;bt�'a3"• t;Y �6Nv�tlt t t l�ti.'.Q �t€`�CdJt+'�ttl ll y 143 I <br /> The undersigned hereby applies to the City for issuance of a Mechanical 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 n-'ade on this application are complete,true and correct. <br /> Applicant's Signature: I Q4441T411'L Date: <br /> 3 <br />