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12112�2012 03: 18 FAM 7634775629 �0041005 <br /> x . � �� :..�, � ,� <br /> � II I <br /> ... I . • • . i�..:. . <br /> I i,.� 5,'�t 1 <br /> Jr: <br /> I <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 <br /> , <br /> I�, � <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. <br /> - - �-� -- _ . ,,. ___.. _ -- - - - <br /> _ ,.._._ ,..___..._.� , <br /> ,... ,,, --� <br /> . <br /> -a- --- �s;rr� �r _ <br /> , T.�..,,��. .: ., 4 � -� .. .. . . Ir .. <br /> . r �~i.�, . �,� . .,< . � , � . � � . <br /> :._ . _..:._._. .._..---_. —_ _,...'. . _ �,�... . �!�., . . ..� . .�.� :�,� .,.�. __ ._... . ... <br /> _ _ _ v.�):11�!;,r'� ,�;., <br /> S��� <br /> ' i "•�'.:�:� <br /> ��.. , .,�: <br /> � � r..�� � _''"'y �5:��, " ., , � .. p. . � ' �. ���'., �'�u� <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. , .,: <br /> _ __.. . . �_... . .... �, <br /> . <br /> � , <br /> _.. <br /> e __ _ ._.,....._.. <br /> ' i1 'I:I:[:f� <br /> � � <br /> Applicanl',$,Si�r�¢ture, .., , Date _ __ ..--- . _.__— <br /> . - . <br /> . . . . .., .�„ .. . <br /> . .. � <br /> , <br /> , <br /> . , . ., .�..;,.� . .�, �•,��r� �u; . ',,�;� � . ,.,, ; _ _,� !� �_ _ _ . <br /> . <br /> , . <br /> ���e�Y�'F��.`Q �, <br /> ��.�!'-� �,r^ ,r-' . , 'i�i: �)`';.:• � , � .�. �� �r��; , �� � � j �� � <br /> � � 1., � ..'i.:._. ,.17 � i'' � �._ � 'J',ry,iE' .. � ,� +�..i :���- . � � . ['f f � .'li - . , ' <br /> �� ., . � . ��1�'. Yt i'�;. �� lY�:li'.i, � ., . � . .,� ,�. .'.. '1 ... ����� ;1� .� , .'. <br /> ,l .,'i!` ,.'.Il:`�"ii i. �'�..t"� . .V:R' �1H"1 . ., � , . .... .. , � �. i, � . . ,.. . � . <br /> . I .".-. 7'�. �;)'� '!ill r � �,�f,:t'. � , . . . .. ..i� ,�'15:,. � . ...� � ,.. ',.I ..Li 'fu. � � <br /> � ; ���.r, �. .., . <br /> �.,,. .� . Il, ., ... : ; I u,. � ;C:. r, fit:..� � � , i , Cf�. ... � , �.,, <br /> _ _ �__..,.._ _ ..._�. ..,. .� <br /> ,.,. ., . _ .. . . _ <br /> , � <br /> , <br /> �i � � ,. , _ ....,�.. ... - <br /> _. ; . . , M� � <br /> , . <br /> ..i�l'. �,�C t...l' f�4L' •7��. ..!..y. .., .z(?�:, 7.; '�}15;., . �..�� �4'. ,.�.i' . . . .5�,. . <br /> �-�'`L. , iii ;t i9C.�'.Ct . ;�. . �`V �l, i'��"t��� .. ,(' � ; �� � ��. ;il� ., , '' . ����,W „ <br /> �� :)I.t'.. .(,�� ...n ��Ida .. . -:�216 ����.�.i:SP�r. ' . . ��" � ��i . + _-.. .. � _�,1`, "ir.,.'i�i�,.:` wl: r,il',:. <br /> �,i . 'i <br /> „0�, '��. • <br /> � ,+„� <br /> f ,�{ �� 3 <br /> 1 5� J. <br /> �. �^� � . i� T . <br /> P ,. �. , ,.0 ,+, r,.;, w ,� ,. _. ,. _ <br /> .... .., c.��,�,.. <br />