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02/28/2012 19:47 FAM 7634775629 , � f�0031009
<br /> !f above dqes not apply;foUc�w guidelines below:
<br /> ]�I COlV77tACT PRICE *.is 1.23% conuact p�ice with a(Minimum Fee ot SSU.00
<br /> � � r
<br /> X.0125 S
<br /> � ('ontiact prloe) lminlmom Ss0 )
<br /> :
<br /> 2; STATE SURCHARGE , � � �
<br /> x.0005 $
<br /> ' , �COt1Qi6S pf100) ;,,
<br /> � 3; PO5TAGE&HANDLING(Only on Mail-In Applications) S
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<br /> 4' TOTAL PERMIT FEE(Add Linos 1-3 Above) S
<br /> � ^ �'!•r..'�*'O�,Q�ITRRYAT�ttt� or JOB COST means tho actual or estimated dollar amount charg for the ,��,i,;;f�y'0�a
<br /> permi�ted work includins materials,labor,proGt,and other fixed cos�s. rt is t6e amount to b ch ed
<br /> to the customer for the work done, lf any maberial,equip�►tertt, labor or installstio�s are ish by
<br /> the o�mer,tenant ar any other periy,the rcasonable market value of suclf items must be ad d to the
<br /> estim�ted cosl oc contract prioa frn'permit fee purposcs. In tlte��lhat t6ece is a dis e on Ihe
<br /> amou�t of the job cosl. the �ity may rcquest tt�e submission of a eigned copy of the actual con
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<br /> The und Irsi ed here a lies to the Ci for i�suance.of a Plutnbing Permi��'�rees o d all
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<br /> work in ict o.ccordzu�ce with the ordu�anccs af the�City �rid the regulat�q��pf,the Stat -of
<br /> Minnesot�a, arid certifies that all statements made on this apptication are complete, ue d
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