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04i27i2016 14:53 DITTER INC � 9522494616 N0.991 D04 <br /> �16,�"���� ��,i,�'r,'!'�����+ �'�`�lif� p ; ,i i �� � �, .� �?i6�hCsl.;� <br /> 1. CONTRACT PRIC� '"is 1,25°/n aCconcrAct price with a(Minimum Fee oF�50.00) <br /> ��.��l 1� �� � <br /> x.0125$ <br /> (contrscl price) �(minimum SgQ,00) I <br /> �, STATE StIRCIIARG�: � a�y.�� x.p045 � � `�� _ _ <br /> ccomrocc prsce) ._...... <br /> 3. POSTAGG 8c,1-IANI�LING(Only oo Mail-ln Applicn#ions) $ Z.aO � <br /> [ �� <br /> 4. "fOTAL PERMLT f EE(Add Lines 1-3 Above) � �J ' • � <br /> I ■ '� CONTRACT PRI�CE or J�D COS'I' means tltie A�tual or estimatetl dollar amount charged for tht <br /> permitced work including mQterials,la�or,prafie,end other fixod costs. It is the amount to be charged <br /> I to the custonier for the work done. I Eany material,ec�uipinent,labo�or installacions are fiirnislled by the <br /> ' owner, tenant or any other party, the reasonable inarkel value of such itents must be added to tlte <br /> estimatad cost or contract pricc for pennit fee purposes. In tl�e event thati there is a dispute on the amount <br /> af lhe joh cost, tlie City mey request the submission of 1 signed copy of the flctual contract. <br /> � � �. <br /> �•, � 'i <br /> I � �l Vl.i�I .9 Y ! ��� <br /> I <br /> � The undersigned hereby Applies to the City for issua,nce of a PJlechanical Permit, agrees ta do all <br /> I work in strict �tccordQ,nce r�vitlt the ordinances o�the City and the re�ul�tions of che State of ; <br /> �Vtinnesota,anCl certifies that ztll stal'ements made on this application are cnmplete,tru�and correct. ' <br /> Applicanl's Signature: �"'��� l�ate: �^"Z�' �� <br /> ��I <br /> i <br /> � <br /> 3 <br /> l <br />