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08/14/2012 21 :33 FAx 763477�629 f�004/00� <br /> • *- I <br /> . . . I <br /> • i <br /> . I <br /> R ���,� <br /> �LM�.�k',.!!�.� Ir..+ <br /> If above doe�not apply;follow guidelines bclow: � <br /> �, (�nNTRACT PAIC'E �is 1.2 0 of cantract prica witl�a(N�inimum Fec of S50'00) <br /> w,v� <br /> x.0125$_� <br /> (conanct prico) (minimu�n SSo. <br /> 2. '�'A F StJRCSALt� ��� �� ' <br /> x.0005 S_ + <br /> (conU7►Ct price) <br /> 3. STAGE&FlAA1DLIIVG(Only on Mail-in Applicacions) $ 2•4 � <br /> � <br /> 4. �nTAL PE'RMiT FEE(Add Lines]-3 Above) $ <br /> ' " ' '" ' ■ " + �ON 'RACT PRTCE or JOB COST means the a�ctual or estimaced dollar arnount c for <br /> permitl d worlc inctuding materials,labor,pro�t,and other fixed costs. lc is thc amount to b char8e <br /> co thc c stomor for th�work doae. If any matarial.equipmeat,labor cn iostatlations are shed <br /> the ec,tenant or any other party.the reagonable matk�t value of such items must be a.d w <br /> cstimat cost or contract pricc for permit fee putposes. 1n thc event that thcre iS a d'Ispu on <br /> umount of the job cost, che C.ity may rcquest the submissian of a s+gned capy of thc acwal ntra . <br /> �� , <br /> .yk"�y,�.��;,,,•, <br /> Thc under igneci hereby appl�cs to the City for isguance of a Plumbing Permit, abrces ��d� f <br /> work in. s ict accordance with the ordinances af the Ciry and the regulations af the � <br /> Minnesota and eertifies that all statements made on this application art: complete, rue d <br /> correct. <br /> Applicant'. Signature: <br /> , Date:����r � <br /> y.,� ,,,��"' '' "1'IP � <br /> ��I�,SL1.:u e,� i ... ��! . ... <br /> I <br /> � <br /> 3 •) <br /> � <br />