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02/02/2015 MON 1G: 55 FAx 763 473 8565 Sabre Hedting & Air Cond �007/007 <br /> � IF above doea not spply;follow guidelines below: <br /> ' ], CONTRACT PRICE '"ig 125°!o pf contract price with a(Mtulmum Ree of SSp,00) <br /> � ��la�•00 x.o�2s� �0•0� <br /> � (cantreot pnoe) (minimum 550.00) <br /> ' 2. S'TATE SURCHARC=� <br /> 3�V'�•04 _ X.000s $ ���� <br /> c��,��pri�> <br /> 3. PQSTAG�&HANfa�.TNG(Only on�Iail-�n Applicati4ns) $ 2,60_„_,,, _, <br /> I a. 'x'O'i'AL P�RMI'T F�E(Add I���es 1-3 Above) $ _ �J�-�� <br /> I ■ * C�NTRACT PWCE or TpB CQST means the actual or estimatsd dollar amount charged for tha <br /> I penmitted work including materials,labor,pro�t,and other fixed cosC�. It is the amaunt ta be charged <br /> to i�e customer for the work done. If any material, e�uipment,labor or installations are furnished by <br /> the oumer,tenant or any other party,tha reasonable markat value oF such item�must be added ta the <br /> j estimated cost or contract price for permit fee pwposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may requeat the suhmission o£a signed oopy of tho actual contcsct. <br /> i <br /> II The undersigned horoby applios to tho City For issuance of a Plumbir�g Permit, agreas to do all <br /> work ui strict accordance with the ordinancea of the City attd tho xagulstions of the State of <br /> � IvYinnesota, and certifies that all statements made on this �ppa�cation are complete, true and <br /> i Corroct. <br /> � Applicant's Signature: Datc; Z-Z•ZOj�J" <br /> �I <br /> � <br /> i <br /> � <br /> � <br /> I <br /> 3 <br /> � <br /> � <br />