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, ,03/1$/2016 FRI 18: 53 FAX 612 $22 5a08 Al' b MAAt�r Plumbimg �004/007 <br /> II <br /> � ,� '; ,�E$�:��',.A'L��, ` :�S;��IJ;O ' ;r�0..r R�: '.f�r d ,M�iyi tp�.�'���+� ��f„� <br /> '� Ifabove does not apply;follow guidelines below: <br /> i, <br /> a <br /> 1. CO�i�'�2A,C"�'��2�C�; *is 1.25%of contract pricc with a(Minimum Fee of$50.00) <br /> �.a UC� x.oi2s� �Jl��nr,in <br /> (conlrnct price) (minlmum$SO.DO) <br /> 2. STATF.SLJRCiiARCr �/ /n� <br /> li� _ �� r i x.0005 � y � �L� <br /> I (concracc pricc) <br /> I� 3. POSTAGE&HANDLiNG(pnly on Mail-In Applications) <br /> 4. '�O'�A.�.P�RMTT T'��(Add T,ines 1-3 Above) $ � � , ,J� <br /> �I <br /> ■ R CONTRACT P�tZCE or JOB COST means the actual or estima�ed dollar amount charged for the <br /> �� pern�itted work including materials.labor,profit,and other fixed costs. Tt is�he amount�o be charged <br /> � to the customer for tl�e work done. If any material, equipmen�, Ittbor or inslsllalions are fumishetl by <br /> the owne�•,tenant or any other party,the reasonable marke�v�lue of such i�ems must be added to the <br /> estimated cost or eontrael priee for p�mit fee pwposcs. In thc cvcnt that thcrc is a disputc on thc <br /> � amount of the job eost.the City mfly request the subm;ssion of� signcd copy of thc actual contract. <br /> 1 <br /> �� � � <br /> � <br /> ,i�,, <br /> , �' � ' y.+r w� +o. <br /> j <br /> i <br /> The tuidersigned hereby applics to thc City �or issuance of a Plumbing Pernut, agrees to do all <br /> � work in strict Aecordanee with the orclinane�s of �he City and che regulations of thc Statc of <br /> Minncsota, and certifies that all statements made on this application are eomplete, true and <br /> correct. <br /> [lpplicant's Signat�ire: Date� / � U /�� <br /> � <br /> � <br /> 3 <br />