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5/01/12 �0:33AM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg <br /> 4 , <br /> t • <br /> � � P�R�'x'.FEE� � � N —.JOBS�OV$R 500:(l0 .. . . � . <br /> If above doea aot epply;follow guidelinea belo�r. <br /> l. CONfgAGT PRIGE " is 1.25°/5 of coaztract pnco w��g(M�°Imum Fee of 550.0� <br /> 29,595.00 %,o12s s 369.94 <br /> �wnn.ac price) l�ile�mam S1o�.0� <br /> 2. sTA s�rnc�acE 29,595.00 X.�s s 14.80 <br /> coomnot arioe) <br /> s. pOSTaGE 8c HANDI.QtG(4n1�o�Mail-In A�pGcaaons) S, 2.00 <br /> 4. TOT,AL�'�F�E(Add Lines 1-3 Abwo) s <br /> 386.7� <br />_ -. - �. - .. �. a * CONiR.A,C�'PRICF cn JO8 C05T means thc aotual.ar est�matied dollar smount charged fo�tb�e <br /> _.... . . .... .. . .. ._..... <br /> permittad urork includit�materiale,le�bor,profit,snd other�ixed co9t�. It is tha smcwn to be charged <br /> tA txfe cusmme�tbr t6e work daae. If any maborial,oquipmer►t, labot or inetallatio�are furs�sk►ed by <br /> she owner.teneat or anY othet�arh►►,the t�onable market vslue of'uch ite�ns muat ba�dded to the <br /> eawnatmd oost or cantract price far permn foe purposes. Ia tbe event ttsat then ia a dispu� o�a rha <br /> amount of the Job coat.the City may requeat the aubmisaion of a eigned copy of the aceual conuacs� <br /> � � pL �G T APPZICA ON ArrRBEIViENT � <br /> The undersigned herebY apPlies to thc City foz issuanoe of a Plumbing Permit, agreva to do nit <br /> wo�k in sttict ecwxdetica with the vrdinsncos of tho City aad the regulatione of the State of <br /> Mina�esota, and cexta�es tbat sll stst�o�s made on this epplicexioa erc complche, true aad <br /> ao�rreCt. <br /> Applicant'9 Si�ariuo: Dete• �/ � �� � <br /> . �� R,oset Form . ' <br /> 3 <br />