Laserfiche WebLink
06/19/2013 21 :44 FAX �634775629 f�007/007 <br /> , ' � • � <br /> !f above do not apply;follow guidelines below: I <br /> 1. �ONTTiACT P'RICE 'is t.2�of oon�price wi1,h a(1Vlinimum Fee of 550.00) <br /> , � x.0125$ ; <br /> ', oamtructpricc) (minlmnm�50.00) I <br /> 2. '' 3TATE$URCHARGE l�UDV r Q� I <br /> G x.Oq05 � � <br /> (oonnautptiNce) M�_� <br /> 3. POSTAC�&HANDLING(Only on 11�ai1-In Applicati�ns) $ 2.00 <br /> d. �'OT.A,�.�P�r�'��(Add Lines 1-3 Abova) S <br /> � �� <br /> ■ ' CON'�'RAC'I' PIi.iCP or JOB COS"f moans the actusl or estimated doflar amount ck�arged for the <br /> peamittBd work including maxe�ials,labor,prnfit,snd othe�fixed cosls. It�s the amouat to be charged <br /> to the cpstomer for the work done. If any material,equip,nent,labor or installauons are fiarnished by <br /> the o�wt�er,tenant or a:ry othe�party,the re�sonable market va.lue of such it�tns must be added to!ha <br /> estimat�d cost or contrad price for penn,it fee ptpposes, In tha eveut that th�re is a dispute pn the <br /> amount�of the jab cost,the City may request the submission of a si�ned copy of the actuaf conpact, <br /> I, i <br /> 'I'he undersf gned hereby applies to the City far issuance of a Plumbing Permit, a�r�es to do all ' <br /> work in st�i.ct aocardance with the orc1.inances of the City an�d the regulations of the Stste of <br /> Minnesota, and certifies thst all statemen ade on this applicat+on are complete, true and <br /> coarect. <br /> � ��AppIicant's Si�nature. ,,.._ Date. <br /> I,I I <br /> . � . <br /> : � <br /> 3 <br />