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Jun�0.5.12,11:09a Robert Hoey 763-535-1805 p.1 <br /> �.:.,..:-. w: ,.��;� :; - - - �:x .�� ___ . .. .. <br /> ..�._._.�:;_, = - - ;. <br /> __... .; ����;� � ��� `� <br /> _ . _: <br /> :�.:..__� x_. .� <br /> �:.=_...._, r.,��� _: � _. .__ ....: .� . �" - _ - -�:c'_:_ <br /> , _ _ <br /> , <br /> _ :: .: _ - <br /> ; <br /> __._ .: . _ . <br /> , ; ._ <br /> . . . _ <br /> . .. ..� . <br /> If abore does not apply;follow guidelines below: <br /> 1. CONTRACT PRTCE * is 1.25%of contract price with a(Minimum Fee of 550.00) <br /> x.O125 S <br /> (contract price) (minimum 550.00) <br /> 2. STATE 5URCHARGE � <br /> x.0005 $ �(� <br /> (conliac�price) <br /> 3. POSTAGE&HANDLING(On(y on Mail-In Applicatians) � 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines I-3 Above) S <br /> - ■ * CONTRACT PRICE or �OB C05T means the actual or estimated doltar amount charged for the <br /> permitted work including materials, iabor, pr�fit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the owner,tenant or any other party,the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the everrt that there is a dispute on the <br /> amount of the job cost, the Ciry may request the submission of a signed copy of the actua] contract. <br /> �x:ci:Fs'iie���:V�:. �'.° "ys:r� �.._ - - <br /> _�?.^i�� <br /> — :�:�.:�� x'M ' ?:� <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees ta do a[I <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this applicati�n are complete, true and <br /> correct. <br /> Applicant's Signature: Date: (9:5�� <br /> ���;���•.�; s x�;�:�;-�, <br /> �:.��'�' '� ". ' »:� <br /> ,. :�.:�:�; _ s <br /> =--sa�����: -�����; <br /> r_`��..'=_...�� —�:. �i'x:::ic:... >',ro'�!I��z:, <br /> 3 <br />