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. I . <br /> =;�fO�•�n w ��'��'��4;.;;,::. <br /> E.:����=,ATI4 S ��;��4�;A0';;�;' �+:,�.:,., <br /> � �:�.,�,�;,�:,=.�t;��::��i::�`.;'PER1th��.:FE <br /> If above ctoes noc apply;follow guidclines below: <br /> 1. CONTRACT PRICF "�s 1.2s°�o of contract price wich s(Min►,num Fee of 535.00) <br /> J <br /> � QDO � x.0125$ <br /> � <br /> ��o ���� {m+nimum 5�5.00) <br /> 2. STATF SUi2CHAItGE �"Add�he Statt Bldg Code Div.Surcharge(Minimam Fee of 5.50) <br /> x.0005 � <br /> (conu�act price} (minimum Y .50} <br /> 3. P05TAGE&NANDLING(On1Y on Msil-In Applications} S 1.SQ <br /> 4. TOTAL PERMIT FLE(Add Lincs 1-3 Above) � <br /> , * Cp��,�' pRtCE or 10B COST mcans t[�e actua! or estimated dollar amount charged for thz <br /> pemuned woik including materials,labor,profit,snd ochcr fixed costs. It is che anioum to be chazgzd <br /> m the customez for the work done. If any mat�sial,equipment,labor or installarions a�•e furnished by <br /> the owner, tenau[or any other party, rhe reasonable market vatue of such items must be added to thc <br /> estimaied eosc or concract price for pera�iF fee purposes. ln the avenc that[here is a dispute on the <br /> amounc of the job cosc, ihe Cicy may request the submission of� signtd copy of the acmal conrratt. <br /> • �eatcr.SFo ve�l a��R S�,Ofl0,000 c 11 thr Building Depertment a�(952)249-4600 forithe priceis <br /> `•,;" .r.; `�;�;v'::;•F ��P��.i,A.PPLLG� � N;:���11'� �' `` � ` ''� <br /> :i i `� � 11';'' .`'ST:: <br /> :i ; <br /> The undtrsigned hereby applies to the City for issuance of a Plumbing Permit, agtees to do all <br /> work in strict accorciance with the ordinances of the Ciry and the regulations of the State of <br /> Minnesota, and cernfies rhat all sraremen�s made on chis application are complete, true and <br /> correct. / / <br /> � <br /> � <br /> ApplicAnt's Signature: _� Aate: �v -���"'�/� <br /> y <br /> 3 <br />