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49/29/2015 TUE 8: 23 FAx 763 a73 8565 Sabre Heating � Air Cond �OOd/007 <br /> I£sbova doas not a.pply;follow guidelinaS below: <br /> 1. CONTRACT PRICE *is 1.25%of contract priccs with a(Minimum Fee of S5U.00) <br /> . ZS��Io`3,OeJ x,oi2s� 35�..0[0 <br /> (oortraart price) (mlulu�um SS0.00) <br /> 2, 5TATE SURCHARGE <br /> ZSS I I05 0a x.4005 �_ I�-O�.�_ <br /> (conlxacl pricx) <br /> 3, POSTAGE&HANDLING(O��ty on Mail-�n Applications) S 2.00 <br /> 4, TOTAL PP�RMIT I�IC(Add Lines 1-3 Above) S_ _ _��/g�_�_� ___ <br /> . • '� CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> � permittod work including matarials, labor,profit,snd oiher f xed costs, xk is dle amaunt to be charged <br /> to tho customer for the work dono. If any material,equipment, IaUor or ia�stallntions are furnished by <br /> i the ownar, tenant or any other party, the reasonable markat valuo oP such it'ems lttust be sdded to the <br /> I estimated cost ar contxaot price for pernnit fee purposes. In the event that there is a diepute on the <br /> I amount of the job cost, the City may request the submission of a signed capy of the actual contract. <br /> The undersigned hereby applies to the City for issuance of e �'l�xibing Perntit, agrees to do all <br /> woXk in, stx�ct accordance witk� the ordi,nances of the City end the regulatiuns of the Stato o£ <br /> Minnesota, ar�d cexti�es that all stat�ments made on this applic�tion are complebe, true and <br /> correct. <br /> Applicant°s sfgnature: �--��L�/M r�,l Q�d�,ld � 7�— � <br /> Date: q•,�, <br /> 4 <br /> � <br /> � g <br />