Laserfiche WebLink
08/14/2012 21 :3� FA� 7634773629 f�007/007 <br /> . <br /> - . �. . <br /> � <br /> . <br /> � <br /> � �„ <br /> LFab ve docs not apply;follow�uid�lines below: <br /> 1. CO�1 [�ACT P1tiCE '�is 1.2 of oc�ntract pric;c with a(Miaimum Fce of$50.00 <br /> , �"�� _ <br /> x.0125$ � i <br /> �°O��P��) � (minlmum ) ' <br /> 2- S �' tCHAR $ �Q�?_ <br /> — x.0005 $ � '"" <br /> (oontrect pcitx� — . <br /> 3. POSTAGE&lIANDLIIVC;(Oaly on Mail-In Applications) $ 00 <br /> 4, TOTAL A�.RM1T FEE(qdd Lines 1-3 Abovc) $ �� <br /> ' * CONTRAG'C�.�tICE or JOD COST means tho actual or es[imatcd dollar amouirt charg ` for thc -- .,, - :,. . - <br /> � � �p itted rirork inciudtng materials, labor,pc�efit,and other fixed cpsts. It is tbo amount W b arged <br /> the cusWmer for the work donc. If any matcrial,equipment, Iabor or insrallations arc ' hed by <br /> c owner,tenant or ariy other pariy,thc reasonablo tnarkct value af such itcros must be to thc <br /> limated cost or conttact price for permit fee purposes. !n the eve�that thet+� is a dispu� on the <br /> a�founl of the j�b cost, the City may request the submissipn pf a si�ned copy of the aetual ntract. <br /> ;� •.;�• : <br /> .,u ;d„w,.i;'w �;�i��� <br /> Thc dersigned hereby applies to Ihe City for issuance of a Plumbing Permit, agrees t do all <br /> work n strict acCordance with the ordinances of the City and the regulations of the te of <br /> Mi sota, and certifics that all statements made on this application are complete, e and <br /> corre�. <br /> � <br /> Appli t's Si�mature: _.. Dalc: ��`J. <br /> �i (�. ...._.. <br /> 'r!q1,��M:: •..���,_, <br /> �x• a <br /> r�v� I <br /> N!,{:f�!uw �f <br /> � <br /> I <br /> I <br /> I <br /> 3 <br /> i <br />