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01/2Q/2017 TUE 21: 36 FAX Ark Mdndg�m�nt �40a/00� <br /> � . PERNYIT.FLE,CAI� TJL �'�ON S. �,-��II�a ,��:$540,00 <br /> If above does not apply;follow�uidelines below: <br /> 1. CONTRACT PRICE *is 1.25°/a of contract price with a(Mfnfmum�'ee of$50.00) <br /> �d �' � x.O125$ /" ����(1 <br /> (wntruct pricc) (minfmu�ll SS0.00) <br /> � 2. �T�F1�'E$�1�tCHARCE <br /> � \ �� v x.0005 ;6 - � � <br /> . (coniract pricc) <br /> ' 3. POSTA.GE&HANDLINO(Only on Mail-In Applioation5) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S • �� <br /> ■ " CONTRACf PR�C� or JOB COST means the actu�l or estimated dolIar amoun� charged for the <br /> permitted work inciuding materials,labor,}�rpfit,and olher fixed oosts. It is thc amount to be charged <br /> to the eustomer for tho work donc. If any material, equipment, labo�or installstions are fumishcd by <br /> the owner, tenant or any other party, the reasonablc market value of such icems must be added lo the <br /> ies[imated cost or contract price For Uermit fee purposes. In tho ovont that there is a dispute on the <br /> ' amount of the joh cost, the City may request the submission of a signul eopy of iho actuai contract. <br /> P�LUMB�-G��R1Y�X�'.E#PpT�ICATI(1N AQRE$MEh1T <br /> 'E'he undersigned hereby applies to tha City for issuance of s Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and tt�e regulations of the State of <br /> Minnesota, and certifies tl�at all scatements made on this application are complete, true and <br /> con•ect. <br /> Applicant's Signature: Date: � � � <br /> 3 <br />