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06/i8/2015 THv iz:az sAx 763 a73 8565 Sabre Heating & Ai.r Cond f�00a/007 <br /> i�'above does not a�ply;follow guidelinea below: <br /> 1, CONTRACT PRICE *is 1.25%af contrxct�rice with a(NY.inimum Fee oP 9'i50.00) <br /> 3�1 Rd,�n X.oi2s� �'15 <br /> (ConUaCtprice) (tnln muio 650.00) <br /> 2, �TATE SURCHARG� <br /> ,_,�„ 351�a�oa �.000s � I 5q <br /> (contraot prioe) <br /> 3. POSTAGE&HANI)L.TNG(Only on Mait-ln Applications) S 2 00 <br /> 4. TOTAL PERMIT P'EE(Add Lines 1-3 Abova) � <br /> � * CONTRACT�RiC�. o� TOB COST meana tha actual or ostimated dollar amount oharged for the <br /> permitted work including matarials,labor,profit,and other fixed costs. Ct is the amount to ba chsrged <br /> to the customer for the work done. T�any material,equipment,labor or installaqons are furnial�ed by <br /> the ov►me��,tensxat oc any other party�the reasonable msrkat value of such items must bo ndded to the <br /> estima�ed cost or contract price for permit fee�urpose�. In thc event thiat there is a dispute on the <br /> amount of the job cost, the City msy request the aubmisaion of a signed capy of the acbual cantraGt, <br /> Tl�c undcrsigned hereby applies to t$e City for issuanco of a Plumbing Permit, ag;raes to do aal <br /> work in strict accordance witlt the ordinances of the City and the regulations of the State of <br /> Minnesota, and ce�rrti�ies that all stataanents made on this application aro complete, true �nd <br /> , coxrect. <br /> Applicant's Sig2iature: bate:, �D•��''�1J 15 <br /> � <br /> i <br /> i <br /> 3 <br /> � <br />