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Nov 27 15 09:42a Water poctors 7635351805 p.3 <br /> 1I.. _ ' - •� ��.�..+..��- <br /> If a�ove�'oes not app'.y; fello�v guide�ines belo�v: <br /> L CONTRACT PRICE * is l?S%of contract price with a(Minimum Fee of�50.00) <br /> xA125$ <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE <br /> x.06�� $ <br /> (con�act price) <br /> 3. POSTAGE�,H.41vULNG{Only on Mail-In Applic�tionsl $ 2.00 <br /> 4. TOTAL PERl�1IT FEE{.Add Lines 1-3 Above) $ <br /> � * COtv`TR.�Cf YR:CE or JOB COST means the actual or estimated dollar amount charged kbr the <br /> pern�itted w�ork inc;uding materia(s, labor,profit,ar.d other fxed costs. It is tha amount ro be charged <br /> to the customer for the work done. Tf any material, equi�men�, labor or installaCions are furnished by <br /> the orvner, tenant or any other party, the reasonable market value oE such items must be added to the <br /> estimated cost or contract pr;ce for permit fee purposes. In t�e e��ent lhat there is a dis�ute on lhe <br /> anount of thz�ob cost, the City ir.ay request the submissior. of a signed copy of the actual contract. <br /> > r � � �"�' <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> �aork in strict accordance ��ith the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all sta`.ements made on this application are completc, truc and <br /> correct. <br /> Applicant's Signature:� � � �_ Date: %/ 2 7 �� <br /> 3 <br />