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12112 2012 0�: 13 FAx 7634775629 f�004/004
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<br /> 1 f xbclve does not apply;follow guidelines below:
<br /> I I, CONTRA(T PRICE s is I.25%oF contracc price with a(Minimum Fcc of SSO.00j
<br /> �� � � � %_�I25$ � �
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<br /> ; (commct price) (.�. imum S50. O)
<br /> I 2. STATE SURC.. AR �; �n �
<br /> , �c�v� x.0005 S _
<br /> (contrscs price)
<br /> , ;, pOSTAGL�&HANDLING(Only on Mail-1n Applicasions) $2.00
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<br /> 4. TOTAL PF.RMCT FEE(Add Lines 1-3 Abovc) $ � ' �
<br /> ■ * CON'I'RACT PRICC or!OB C05T means the actusi or estimated dollar amount charg for the
<br /> 1,, ,i, ��,� ,�•, . ,� c�mi;tted a!�or�C-`�ac:lud'ln8 m�rials,Iabor,proFt,and other fixed costs• It is the amount to b :charged 1� .' ��^
<br /> o thz customer for the work done. lf any material,equipment, Iabor or Installatians �'e fu ishcd by
<br /> hc owner, tenant or any Other party,The rea�onablc market value of such items must be Ad d to the
<br /> estimated cast or con[tact price for permit fee purposes. In the cvcnt thac there is a dispu on lhe
<br /> a�mount �f the job eost. the City may request thc submission of a signed copy of the actual eontract.
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<br /> �Tha undcrsigned hcreby applies totthe City for is5uance of a Plumbing„Permit,�s.gre�s do all
<br /> wot!k in strict accc�rdance with the ord�nanees of'the:City and thc regulattans„of the State�of
<br /> Mi nesota, �nd eertifies that all statements made on this application are compl`ete, ie and
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