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06/19/2012 2�:58 FAx 7634775629 �0031003 <br /> . , <br /> ; <br /> • , i <br /> • •� <br /> � <br /> 'i <br /> i <br /> .:.,,,.. ....,� � .. .... ` <br /> . . . ..1•��.•1�N4•\i,.Nh.� .. � <br /> t� <br /> I <br /> E <br /> � If above does not apply;follow guidelines betow: <br /> I� 1. CONTRACf PR10E * is 1.2536 of wntract price with a(Minimum R oi �,00) � <br /> � � a�a ^ � <br /> X.oizs s <br /> (oomt�ct pria) ' (i Inim m 550.00) f <br /> :f <br /> 2. STATE SURCY•[ARCE � � ` �v I <br /> x.0005 $ <br /> i (contraa prlca) " � <br /> .� <br /> i 3. POSTAGE&HANDI.ING(Only on Mail-In Applications) S ,� <br /> i � ` <br /> � ' <br /> i 4. 7'OTAL p�IYMIT F�E(Add Lines 1-3 Above) S ,j <br /> � <br /> ■ " CONTRACT PRlCE oc JOB COST mcans th� actual or estimabed dollar amo nt harged for the , <br /> _ . .... -... _ • <br />' " i perrtiitted vroik including materials, labor,profit,and othor fixod costs. It is tho a ou to bc chargcd' � � <br /> to the customer for the wor{c done. lf airy material,equipment,labor or installatio s c fumishcd by � <br /> the ownar. tenant or any other party,the roasonable market value of such items m st added to d�e r <br /> estimated cost or wntract price for pem�it feo purposts. In the even� that thero 's c dispute on the ; <br /> amount of the job cost,the Ciiy may requesc the submission of a signed copy of he ctual c;ontTact. � <br /> ,i <br /> .� <br /> � <br /> I' ��,iai;.•!H', i � ..'. „r+ •.�,•+�?,�g� • <br /> ,'� ,; � .. <br /> I �'V�..'�''��1•::�'rJJ1•i.•V <br /> I <br /> I k <br /> � 7'he undersigned hereby applies to the Ciry for issuance of a Plumbinb Permi a es to do all ; <br /> i work in strict accordance with the ordinances of the City and the regulation o the State of ��� <br /> Minnesota, and certifies lhat all statements made vn this applieation are co p ete. truc� and ; <br /> correct. ' <br /> :�: <br /> I . (.�' � <br /> � � , <br /> Applicant's Signaturc: Datc .,� � <br /> :, <br /> F <br /> ,'y'�,��.� � <br /> LL:•_..r;•�.•;.�.1:•,; , i <br /> �•n•.•.{...�. . . ; <br /> � �j <br /> �:.Yp�;::'. ,a <br /> • . ..Y. .. , •.i''i`7:.,ii'+Z�r..i��.... �.. 'I <br /> ,f <br /> I � <br /> .I <br /> I I <br /> .i <br /> 1 <br /> I <br /> �I <br /> I �I <br /> � <br /> 'I <br /> I � <br /> I •� <br /> I <br /> } <br /> 3 <br /> �•I <br /> i <br /> 's <br /> .I <br />