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Feb 03,2015 02:15PM HP FaxScherer Plumbing 9524476735 page 1 <br /> � y �` �3 $.�04��$`^��+- � �' - � <br /> � � ���'•- R V_'_ � - F - ti�: .�I J�fR <br /> `� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTR4CT PRICE *is 1,25°/n af contract price with a[Minimum Fee of$5`ll,pp) ;��� <br /> � (,;i/ L �. ; V <br /> x.0125$ :�L'� <br /> (cantrad pQ�ce) <br /> (minimum 550.00) <br /> 2. STATE SUR RGE , � �� <br /> x .00QS $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(pnly on Mail-In Applications) $ 2.0fl <br /> � ()V <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) s ,��� <br /> ■ * COTTRACI' pkiCE or JOB COST means 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►naterial, equipment, Labor or installations are fumished by <br /> the owner, tenant or any other party,the reasonable market vaIue of sucb iterns must be added to the <br /> estimatad cosi or conhact price for pernut 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 /> ,� • , s , � ,. r, <br /> , ,,. <br /> . _ . � . .. � � .,, <br /> .; <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 Ciry and the regulations of the 5tate of <br /> Minnesota, and certif�es that all statements mad n is application are complete, true and <br /> correct. <br /> Applicant�s Signature: Date: �' � / � <br /> 3 <br />