12112�2012 03: 18 FAM 7634775629 �0041005
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<br /> I I'above docs not apply;follow guidelines bclow:
<br /> 1. CONTRAC"f PR�CC W is I.25%of contract price with a(Minimum Fee of$50.00)
<br /> � � � x_0125 S ,��--
<br /> tcoMrect�tti�x) �� (mi5lmum 550.(10
<br /> 2. STATF:SURCHARG_F. �c
<br /> � �� G�D x.00OS $ /��
<br /> 'I '(opntract prioe) - —
<br /> � 3. POSTAC's��t HANDLING(Only on Mail-in Applicatioas) S 2.00
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<br /> 4. TOTAL'PERMIT r��(Add Lines �-3 abovc) S �
<br /> • ° CON'1'RACT PR�C� or JoB C�5'f ineans Ute actual or estimeted dollar amount char�d or the �
<br />��.,:,,� �•,�,7� � . ,rpep►�ittcd-,v�'��i���i�8 ma�erials,labor,profit,and ottter fixed costs. It is the amou�t�o be c arged
<br /> to thc customer f��the work done. If any material,equipmcn� labor or installations are furnis ed by '•�i��%��:�n n r
<br /> tha owner, tcnant or any othet party,the reasonable market value of such items musc be addcd W the
<br /> cst�mated cost or contract price for permii fee purposes. In thc cvent that thtre IS a dispuce n thc
<br /> amounl of ihe job eosc, the City may request the submission of n signcd eopy of thc aetual ntracl.
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<br /> The undersigned hereby applies to the'�City for issu�nce of a Plumbing Permit;�grees to do all
<br /> work in s�rict accordance with the ordinance�:,o��he�City and th� regulati0r,�s�T'of;t�e .�, te-vf
<br /> Minnesota, and certifies that al1 statcments made on ttiis application are e:oinplete, tr'e and
<br /> correct,_� .�t , .�: a,,� .; 1�.G�.F. , .,:
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