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12/72/2012 03: 15 FA� 7634775629 f�004/004
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<br /> ' lf above c�oes not apply;fpllow guidelines bciow:
<br /> ' 1��. CONTRACT PR10E �' is 1.25%of contract pricc with a(Minimum �cc oT 550.00)
<br />� ' � ,�,h/�— —
<br /> (�l/�/ x.0125$ �
<br /> (wnlraM price) ( Imum 550.00)
<br /> � 2l STATE SURCHARGE
<br /> � �� x.0005 S � �
<br /> (wndact price)
<br /> 3 I� POSTAGG&I•iANDLING(Only on Mail-Jn Applications) $ 2.00
<br /> ' �.',TOTAI.PERMIT FEE(Add Lin�s I-3 Abovo) S ` /
<br /> ' • ' (:U1�TKAC:'1' PEtICE or JOB COST means the actual or..estimated doilar amount �hargod fur c
<br />'I^;'??i 2`?'I� n^ ,-p��ltOcd,�Nr,�c,iti�I�d�g materiAls, Isbor,pmfit,and other fixed costs. It is the amount to bc charg ,.�,„„,, ;„ ,
<br /> to'�''��us'tbmcr�or lhz work done. If any material,equipment, Iabor or installations are fumishcd y ` � '��`"�
<br /> the owper, tenant or tu►y otb�r party, lhe reasonable merket value of such items must bc addcd to t c
<br /> estimat�ed cost or contract pricc for permit f�o purposcs. ln the zvent that thei�e is a dispute on t c
<br /> �mount of the job eost, the City may rcquest the submission of a cigned copy of the actuaf co�t� i.
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<br /> Thc undersigned hcreby applies to the��City for,tsst�ance of a Plumbing Permrt„agrees to do a
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<br /> wark in stxict accordanee with the ordinanees bf tl�e .City and the rregulations� of the.State_.f
<br /> ` I, Minnes�ra.', and certifies that all statements matie on?this application are cdirt�slete,� ttve an
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