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06/19I2012 22:39 FAX 7634773629 I f�0031003 <br /> . • ' ;� <br /> R <br /> • S <br /> 11 �� � <br /> ��:. � <br /> iflabove does not apply;follow guidelincs below• � €� <br /> I. �ON7'RACT PRICE + is 1.25%of conurract price with a(Minimum Fee of 50.00) � <br /> act <br /> � �� ` � "s <br /> x.ol2s$ . �� <br /> �����P�a) (mini um 0.00) 4 <br /> � <br /> 2. $TATE SURC1�ALtGE /y�//� v � <br /> ���w x.0005 $ � <br /> .� <br /> (coat�aat pri�x) � � <br /> I �3 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) S ,0 € <br /> :i <br /> ��, <br /> ; <br /> 4. TOTAL P�RMIT FL�(Add Lines 1-3 Above) � �3 <br /> .€ <br /> • � '" CONTRACT PRIC� or JOB COST means the actusl or estimated dollar amount a ed for tha � '� <br /> - - � permitted wotk including materials, labor,profit,and other fixed eosts. it is the amou t to e chargcd ;� <br /> I to the customer foc the work dono. If any mate�ial.equipmoat�labor or instaUations fu ishcd by �� <br /> II the owner,tbnunt or any other par[y.the reasonsble market value of such itCms must e a ded to die ; <br /> estimatod cost or contract priee for porntit fco purposes. In the event that th�re is disp te on the :! <br /> �I amount of the job cost, the Giry may rr,quest thc submission of a signed copy of the etu�contract. '• <br /> :� <br /> ',� <br /> :� <br /> �:,� ,,.,w �' .,M.. „�,4i-�. <br /> ,�?vr�'?`�r-� :D.�' _'vY>•.a •:.'r:":'� .i <br /> '� <br /> Th� undersigned hereby applies to the City for issuance of a Plumbing Permit, rees to do all ,� <br /> wo m strict aceordance with the ordinances of the City and the regulations the State of :g <br /> Mi�nesota, and certifies that all statements made on this application are com ete, ttrue and ,E <br /> COY'►�Ct. J .� <br /> �k <br /> .� <br /> Applicant's Signature: Date:�� �� <br /> •:€ <br /> :� <br /> ; <br /> -••'�-� �':yM;:•o i <br /> 4,�•'„���1� r 1 ,� <br /> ,�., . <br /> ...� . <br /> ..�li�.t�•� <br /> �. . '.. . '� . <br /> . . � � ' �.: �. Y <br /> • ' . � .. ... . . �1 <br /> .e <br /> F <br /> .F <br /> :� <br /> �� <br /> .+ <br /> �r <br /> •J� <br /> 39 <br /> .' <br /> t <br /> ai <br /> E <br /> "� <br /> � <br /> :i <br /> � <br /> ., <br /> � <br /> .t <br /> I .t <br /> .� <br /> .3 <br /> 3 <br /> :s <br /> , <br /> , <br /> � <br /> � <br /> > <br /> II II ,, <br />