Laserfiche WebLink
12/12/2014 13:26 6127218691 SODERLIN PAGE 02/02 <br /> � � 1�� � ii � �.ii'��f�il li � V ��I°'�P ( ,..���� <br /> ��� {} '�,, c,� I� ,�I ,11�� 'u�?��``� +�� f"�''��' �r��'�1��'� i'k�;+�,� I����'�+:� , ;'I;�� !s,� �' ;:l <br /> �f above does not apply; follow guidelines helow; <br /> 1,. CQN�'Rr�CT PRICE * is I.25%of contract pr;ce with a(M�nimum Fee of�50.00) <br /> ��f�o7 _ �.oa zs� ..��D�vza <br /> (contract pricc) (lminimum SSO.OQ) <br /> 2, 5TA'T�SC'RCNARGE <br /> - -- /��7. .X ,000s � �7.� <br /> (tonhuci pncc) <br /> 3. POSTAGE&HANDLTT`G(Only an Mail-In Applicatians) � 2.U0 <br /> 4. TOTAL P�RiVIIT FEE(Add Lines I-3 Above} � <br /> • * CpNTR.�,CT PRIC� or 70� CbST means tlle �ctual or escimated doliar arnount charged for thc <br /> permitted work including materials, lAbor,prorC, and otl�er fixed costs. It is I;hc amount to be cl�arged <br /> to thc customer for the work donc. If any material, equipment, labor or installations ar.e furnished by <br /> d�e awnar, tenant or any other party, zbe reasonable market value of such iterns must be added tQ the <br /> estinn,ated eost ar contract price for permit fee pwposes. In tl7e event that there is a dispute on the <br /> Amount of the joh cost, th.e City may request the submission.of a sigmed copy of the acri�al eontract. <br /> i f�����+ ' j'i,�a' ,?��;'?�il' � ����� ;� �,�'��r"��!��I"x'A.�?P�if;�IC���;(�I�i':�i�����,�V�`'' !'!'�.,: <br /> The und�rsigned hereby applies to the City fd� issuance of a P�unnbing Permii, agcees Co do all <br /> wvrk in stricl'. accordance wi1.h the ordinanecs of tlie City and l'k�e regulations of I:he St�te of <br /> Mim�esota, antl certifies that a1l statements made on this applicatian are coraplete, tnie and <br /> cozrect. <br /> Applicant's Signature: ��'�'�-� Date� �o� -/v��"<<f <br /> 3 <br />