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0�/06/2016 wE� 9: 51 FAx 763 �73 8565 Sabre Hpdting 6 Ai.r Cond f�446/007 <br />� <br /> I <br />� If above does not apply;fallow�uidelines below; <br />; 1, CONTRACT I'RYC� *is 1.25%of cantract price with a(Minimum Fee o!550.00) <br /> _'„a I V O�0O x.OI25 S 7 T1�.-��--- <br /> i (conhucl pr�cc) (minlmum SS0.00) <br /> I <br /> 2. BTATL�SURCHARG� n�5� <br /> I x.0005 � "I <br />� (conu�sot prioa) <br /> 3, PQSTAGE�HANDLTNG(Only on Mail-Tn AppliCstions) S 2.00 <br /> 4. TOTA�.PERMIT FE�(Add Linos 1-3 Abave) S ��t•�Q <br /> ■ �' CQNTRACT MiTCS or 10g COST rneana the actusl or estimated dollar amount charged for ihe <br /> perr�ittod work including msteriala,labor,profit,and othec�xed costs. It is the Funount to be cl�arged <br /> to the customer for the work done. If any material,equipment, labar ar installations are furniahed by <br /> the owner,tenaat or arry other party,tha reasonsble market value af such items must bo uddad to tho <br /> astimdted cost or contract price for permit fee purposes. In the avent that thera is �dispute on the <br /> amount of the job cost, the Ciiy may request the submission of a signed oapy of the aotual con�Gact. <br /> The undersigned hereby applies to the City for isauance of a�lurnbing Penmit, agr�es to do all <br /> work in strict a�cnrdance with the ordu�►snces of the C�ty and the regulatians of the State of <br /> Nlinnesota, �nd certiftes that all st�tements made on this application are complete, true and <br /> correct. <br /> Applicent's Sign�ture: Date: . �-(p�z���D __ <br /> I <br /> I <br />� <br /> 3 <br /> i <br />