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07/25/zOla FRI ii: 02 FAx 763 a73 8565 Snbre HOdting & �.r Cond f�00a/007 <br /> If above does not apply;folldw gvidelines helow; <br /> 1. CON'CYtACT'PALCE �is 1.25%of cootract price with a(Minimum Fce of SSO.UO) <br /> '��J'1'��•a b — x,0125� ��tP_'T - <br /> (controol prioe) (minlmum 550.00) <br /> 2. STATESURCHARGE <br /> z37�i.n0 x.000s $ I1-A� <br /> (oontrsot pricv) <br /> 3. AOSTAC�.&HANDLTNG(Only on Mail-In Applications) � 2.00 <br /> 4. TOTAL PTLRM�'k'E�(Add Lines 1-3 Above) s,_��h.5) <br /> � * C4NTRACT PRICE or JpB COST' means tho actual or estimated dollar�mount chargad for the <br /> permitted work including mater�als,labor,profit,and oth�fixed costs. It is A�e a�nou�t to be charged <br /> to the custome�for the work done. IP any material, eyuipmea�t,labor or inatallations are ftu�ished by <br /> tha ownar�tenant or am othe� party, the reesonable market vntue of such items must be added to tha <br /> estimated coat or contract price for permit fse lwrposes. In the event that there is a dispms on the <br /> emount af the job cost, the City may request the submis�ion of a signed copy of tha actual contract. <br /> The undereigned hereby applies to tho City �'or issuance of a Plumbing Per�x►it, agrees ta do all <br /> work iri strict accardance with the ordinances of the City eztd tho regulations of the State o� <br /> Minnesota, and ccitifies tliat all atatements made on this application are complet0, true atxd <br /> con'ect. <br /> Applicant's Signaturo: Date: ���,r'J•�a� <br /> 3 <br />