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. . <br /> ,� �. ����',��IEt�IIT' � ° � ���� �,���t°���' Q���,�� <br /> ff abovc daes not apply;fallow guidtlines below: <br /> t, C4NTRACT PRICE *is l.25°la of contract pricc with a(Minlmum F`ee of 5�50.00) <br /> x.07 25$ <br /> {cariritct prir4) (miai�m S.'S(!,(Hi) <br /> 2, STATE:SURCHiIRG� <br /> x:Q005 $ <br /> ;contFttel}�ricr) <br /> 3, POSTAGE&HANDLING tOn1y an Mail-fn Applieaiians) $ 2.40 <br /> 4. TOTAL PERM[T�EE(Add Lines l-3 Abave) $ <br /> ■ * CON'CRAGT FRICE or 10B COST means the�ctuat or estimated dntfar amount char�ed fur the <br /> permitted work including m�terisls,t�bor,profit,and other fixed cascs. lt is the amaunt to be charged <br /> to the custo►�r for the work done. it'any meterlal;equip�ncnt, labor or instapations fue fumished by <br /> the ownerR tenant or any other party,the�easonab)c market vatue of such items must bc added to the <br /> estimar�d cost or cc�ntract price for permit fee purposes. In the evcnt that there is a dispute on the <br /> amount of the job cost,the Gity may requcst the submission of a si�ned copy of the,,actual cant�ot. <br /> � � . , , . _ <br /> , <br /> ... <br /> aaq��:� � :�.�,e;:� ��:.' � ,�,a �� � a � ' �,��`����..���.����.: <br /> The undersigned hereby applies ta the City for issuance of a Plumbin�:Permit,agrees to da all <br /> wark in strict accardance with the ordi�ances af the City and the regulatians af the State of <br /> M�nnesota, and certifies that all statements made on this application are complete, #rue and <br /> CQCI2Gt< <br /> Appiicant's Signature: �.��-�'I �� [?ate: fl4/29/15 <br /> � � <br /> J ���g � � �� ��� <br /> b��� d <br /> _������;�,,��.�...��E� �...,�: <br /> 3 <br />