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03/17/2015 TUE 12: 27 FAx 763 G73 8565 S�bre Heating & Air Cond f�00G/007 <br /> ; a r <br /> If Above does not apply;follow guidelines bofow� <br /> 1. CONTYtAC'I'�IC� '"is 1.25%of contract price with a(1Vllnimum Fee of 550.00) <br /> � x,o�25$ Z �21 � - 'rb <br /> (contraoi ue) ( nlmum�50.00) <br /> _�� <br /> z. sr���sv�tcx,r�t,�� � - <br /> � ��a�.(r0 X.000s �, � <br /> (contract pnce) <br /> 3. POSTAGL�&HANDLING(Only on N1ail-In Applications) $ .�,00 <br /> , �-�L��-� , a y <br /> 4, '�'OTAL PERMIT FEE(Add Linas 1-3 Abova) $ 2.J� <br /> � - <br /> ■ * CONTRACT PRTCL or JO� COST means dia actual or estimatad dollar amount charged for the <br /> permitted work includi�g materiala, labvr, profit,and other fixed costs. It is rhe amount to ba charged <br /> to tl�e cuatomer for the work done. If any material, equipmont, labor or installatians are furniehed by <br /> the owner, tenant or any other party, the reasonable market value of sucFx items must be added to Yhe <br /> astirn&ted cost or conttact price for pennit fee �urposes, In the event that thare is a disputa on the <br /> amount of the joU cflst, the City m�y raquest the submission of a aigned copy of the actual contract. <br /> The unden'signed hereby applies to tile City for issuanco af a Plumbing Permit, agrees to do ail <br /> work in strict accordance w'sth the ordinancos of the City and t.he rogulations of the State of <br /> Muuzesota, and certifies that all stateanents made on this application are complete, true �1d <br /> carrect. <br /> Applicant's Signature: __�pVh�Lv� ��UG�U?i�_ p�tm: �•1`y�x01� <br /> , � �' <br /> 3 <br />