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04/15/2014 TUE 12: 22 FAX 763 473 8565 Sabre Plumbing & Heating �004/007 <br /> .���,. <br /> If above does not apply;follow guidelines beiow <br /> 1. CONTIZACT'PRICE * is 1.25%of contract p 'ce wid�a(Mi�aimum Fee of$50.00) <br /> �l �0 X.oi2s� Z2.1 . Z-� <br /> (contrnct pric ) (minimwn�50.00) <br /> 2. S1'ATE SURCI�IARGE <br /> � �� Q _x.0005 $__�______� �� _._. <br /> (Ci�nUnc(Pn' ) <br /> 3. POSTAGF.,&HANDLTNG(Only ou Mail-T�i Ap�lications) � �-80' <br /> 4. 'I'OTALPFRMITrEE(AddLinest-3Above) $ Z3(j. +� <br /> ■ * CONTRACT I'RICF, or JOB COST means the actua or estim�ted dollar amount cllarged for the <br /> perrnitted work including materials, labor, pro�t,and otl r t`ixed costs. It is the amount io be charged <br /> to the customer for d�e work done. Tf any material, equ� ment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable mar et value of such items must be added to tl�e <br /> estimated cost or contract price for permit fee purpose In the eveni tl�at there is a dispute on the <br /> amount of the job cost, the City may request t}ie submi sion of a sigued copy of the actual contract. <br /> The undersigned hereby applies to the City for issuanc of a Plumbing Permit, agrees to do all <br /> work in strict accordance witii die ordinances of the ity and the regulaEions of the State of <br /> Minnesot� and certifies that all statements made on tt�is applicarion are complete, true and <br /> correct. <br /> Applica��t'sSignature: 4`������ __._�� W_____ Date: `t �`7'��l`�' T_ <br /> Y��k����t�t�� : <br /> . _ .. �I <br /> 3 <br />