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03/02/2018 FRI 13: 06 FAX 763 473 8565 sabre Heating & Air Cond 1004/007 <br /> ‘1 1 J����yy�;^�-Y�+w 1���Is� i I Y r�A�r 1 E�m+ lI 16^a.rtr�rapem�f a Y a^a�i.ti'..rinl?^rly ht J x.(ra 11„.f <br /> �nL•ili.1.;11.r JA..�t4:f.a��l.M:.r.��,.��.�..,l.i�f'CY���.°�.f� �.��:1:.G�Il��( �ll k ����i �r� }:�f.1+fzE.}4 f It tiu�r.,i9 \a,t1� L?;F'N r.,�L�tn (L,t tifL 1',V;'• <br /> If above does not apply,follow guidelines below: <br /> S. <br /> COFftiACT PRISE * i5 1,25%of contract puce with a(Minimum Fee of$50,00) <br /> 1. 1401'-5 ..._..... x .0)25$ 'a,30•r Z. -- <br /> (col(L nc1 pi h ) puDiii ium ssula) <br /> 2, STATE SURL'HA,RGJ <br /> '111401: 51-1- x 0005 $ q•7.10 <br /> (contract.pnoe) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2't. 2.Z, <br /> * CONTRACT PRICE or JOB COST moans 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 /> • <br /> • <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: _ tail LokmAmitat. Date: 3. Z,2.01 • <br /> 3 <br />