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06/19/2012 23:03 FAX 7634775629 f�003l004 <br /> � . <br /> 1• . <br /> !f a.bovt does not apply;follow guideliRes below: ' <br /> 1. C 10E *is 1.259�6 of contract price with a(Minimum Fee of�50. ) : <br /> � �"'D + x.0125$ ' <br /> �00n��"x� ^ (mldimnm .o� . <br /> 2• TE S RC RG /ry ti/� � . <br /> v��v x.0005 a__� <br /> (�aect prioo) � . <br /> 3. POS1'AGB&HANDLING(Only on Mail-in Applicetions) $ ,p • <br /> 4. TOTAL PERM[T FE�(Add l,inos 1-3 Abave) s—__— r, . <br /> _ <br /> • " CONTRACT PRICE or JOB COST meatts the actua! or estimated dollar atnouat ch for the ; <br /> permitted work including materiels, labor,profit,and othar fixed oosts. It is the amount to chRrged <br /> to the customer for the wvrk done. If any material,equipment� Iabor or installaripns are ishcd by - <br /> the owner� I,enant or a�ny other party,the roasonable market valae of such items must be ed to the <br /> cstimetecl cost or contract price for permit fee purposes. In the ev�nt that I,hore i�a dis te an the � <br /> amount of thc job cosl;the City may requcst the submission of a signed copy of the opatrac�, <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees o do all . <br /> work in strict accordance with the ordinances of the City and the regulations of th Stau of � <br /> Minnesota, and certifies tha,t all statements made on this appiication arre complete, rue and � <br /> con�ect. . <br /> APPlicant's Signature; Date:�� _ � <br /> �;"�fj� ' : <br /> ...... „� . . .. . <br /> , : <br /> 3 . <br />