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07/25/2017 TUE 8: 06 FAx 763 473 8565 Sabre Heating & Air Cond U004/007 <br /> d �UJ^yld 1[0.P ci <br /> ;"relretilll 11,� . 1� �t ITI �// NPrjlAhw <br /> 4 0 <br /> If above does riot apply;follow guidelines below. <br /> 1 CON'l'RAC1'PRICE is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 13'1 •34 x.0125$ z3/,+0 %. <br /> (contract price) (minimum 550.00) <br /> 2, 5TATJ Su cHARQE <br /> l�1 V 34-__.x.0005 $_ a116.�f......_._ <br /> (contract pnet) <br /> 3, POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,40 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 2-141/•2..7-- <br /> • <br /> -141/•2• * CONTRACT PRICE or JOB COST means the actual or estimated dolla ount 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 cast,the City may request the submission of a signed copy of the actual contract,• <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; c p411/A/l•d/ Lit4,,Amtkot, Date: 1 • 15. 2C(7 <br /> 3 <br />