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12/1 /2012 03:01� FAH 7634775629 1�003/003 <br /> � � <br /> . � . <br /> I . <br /> ;��,qr, � �, �� �, <br /> ,� <br /> n:;,.�^m'lpn:M:^i�.'y�i�'Ialh:%'A i d.!y .i��' <br /> If above d�es not apply;follow guidelines bclow: <br /> ' II',. CUN'r ACT PR10E "' iR 1.259/0 of contr�tct price with a(Minimum Fee o�S50.00) I <br /> ..'. � / ��^ I <br /> x.U125 S <br /> !� i (oonQac�pri�x) ( imaM SS0.0� <br /> � 2. 5rA'rE suRC 1ARCE ' � <br /> I �`, x.000s $ ��. . <br /> (contract priae) . <br /> 3. POSTAGE&HANllLING(Only on M�il-Tn Applications) S 2.00 _ <br /> 4, TQTAL PI�1tMIT FEE(Add Lines 1-�Above) . $ / <br /> ��;r y,7���,� ��- �• '�+CONTRA,��PKT�F or JOB COST mean� the actual or estimated dollar amount charged fo the ,��r^^ <br /> permitted work including m�terials,labor,profit,and othcr futed costs. i�is tkie amoun�to be ch <br /> to th¢customer for thc work done. If any material,eyuipment,labor or ingtallatinns are fumish� by <br /> the o!umer,tcnant or any othcr party,the reasonable markct vt�lue of such itr.tms must bc added t thc <br /> estimatcd eost or contrawl price for permil fee purposes. In the cvent thaz there is a dlsputc v the <br /> amo�nt of the job cost, thc City may requcst the submission of a signoe9 Copy of the ttietual cont t <br /> I . <br /> . - !1 ����. <br /> �t�w. � � i^�'1'�`� �'� t �'�d` <br /> . .... <br /> ��Cwrr.9��'����.�•�',r � <br /> The undiersigned hereby applies to the Ciry for issuance of a Plumbing Permit, agrees to d all <br /> work in strict aecordance with the ordinances of the City and the regulations o1' the Sta �f <br /> Minncsotf►, and ccrtifies thal all staternents made on this application dre complet�, crue and <br /> correcl. <br /> npplicAnt's Signature. _ . .� Date:�._��� <br /> f <br /> ;;�c:��l".9�l��M�'11 „'" ':� ��i{w ���� • <br /> .��' ',�J�`�7:��.,��:�,::�.i�.�•i�11:ri��,!'r:':,�.;Hy 'I.��IH�. � <br /> I IIII II <br /> I <br /> � I II <br />. ., .���., . . . . I <br /> 3 <br />