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06/30/201a MON 12: 59 Fax 555 5555 Sab1e Heeting & air Cond �004/007 <br /> � <br /> a <br /> I£Rbove does not apply;�ollow guidelines below: <br /> 1. CDNTRACT PRICE +is 1.25%of coritract price with a(Minimum Tee of$50.00) <br /> `�a '��,/f1} x.0125$ � <br /> (aontraci pncv)� (min mum 350.00} <br /> 2. STA'C�y�jj�t(�FIAR�E <br /> �0��`�__�D x.000s � 5-�7—.. <br /> � (conVact price) <br /> 3, PO5TAG�&HANDI,ING(Only on Mail-]n Applications) $ 2.00 <br /> 4. TO'TAY.PL1tMIT FEE(Add Lines 1-3 Above) � � �JrJ-l� <br /> • * CONTRACT PRICE or JOB COST means the actual or estimat�d dollAr �unount chaxged for the <br /> pennitisd work incLuding materials, tAbor,profi�and okher£'ixed costs. Tt is tho amount to be charged <br /> io the custo�er�or the work done. If Any mat�rial, equipment, labor or installation�e,re furnished by <br /> the owner, tenant or�ny otlxar pariy, the reaaone�ble marlcot value of such items must 6e added to th� <br /> es�imated cost or contraat price for permit fee purposes. In the event that thore is a disputa pn the <br /> amount of tha job cost, the City may requost the submissio�� of a signed copy of tha actual cont�act. <br /> '�ha undersigned hereby applies to the City for z5suancE oP a P1umUing Permit, agrees to do t�ll <br /> work in strict aceordance with the ordinances of the City and the reguJAtions of the State of <br /> Muuiesota, And c0rtifios thaC all statements made on this applicatio;� aro complete, true and <br /> co�roct. <br /> Applicant'sSign�tu�e: ��`��,lQ, D�tie: (�'JO•�!�- <br /> 3 <br />