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May 01 14 06:51 a Water poctors 7635351805 p.4 <br /> _ � u <br /> PExMIT�.��c�I.;cl:rr.�.T1oN s roB�:ov�x��o�.c� <br /> If above does not apply; foliow euideEines below: <br /> ]. CO\TRACT PR[CE �'is 125%of coc�tract pri e u�ich a(Dlinimum Fee of$SO.DO) <br /> x.0125$ ��C7� <br /> (uimracl piicej (minimum$SO.UU) <br /> 2. S"CATE SURCNARGE s <br /> x.0005 g P oZ�j <br /> (c o�i�3c�pnce� — <br /> 3. POSTAGE&I-�ANDLING(Oniy on hlaii-In Appl ationsl $ Z,pp <br /> [,/ <br /> 4. TOT,�L PERYIIT FEE (Add Lines t-3�bove} � ��a � ✓ <br /> � * CONTRAC"1� PR10E or 3nB COST mcans ihe actual r estimated dollar an�ount charged for thc <br /> pennittcd work includin�materiais, fabor,proft,and othe fixed cosis. It is i�e amount to be c}�arged <br /> to tl�e customer f�r the work da�e. If any material, equip ent, labor or insia.l€ations are fi�niished by <br /> thc ot��ncr,tenaat or any other party, t;�e reasonable mark vaIue of such items mi�sr be added to the <br /> esiirnated cost or contract price for permit fce purposes. In the everll that thcrc is a dispu��e on the <br /> �unount of d�c job cosi, tlte City may request the submissi n of a signed eopy of the �etual con�ract. <br /> : : PLUMBIa`4TG PERMI'I'APFLfC;ATI N A�'irI�MENT- - <br /> The undersi�ned hereby appEies to the City for issuance f a Plumbing Aern�it, agrces to do all <br /> wark in str-ict accordance with the ordinances of the Ci and tl�e reoulations of the State of <br /> Minncsota, and �ertities rhat all statements made on t 's application are complete, true and <br /> correct. <br /> Applicant's Signaturc: Date: `/ � �� <br /> I <br /> � <br /> 3 <br />