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':;,1:'�' ' <br /> �. . . .s -:;.:....... <br /> � ..:.w4w�� ....:.....� .;..�.:'.. ..:. �� . :: . .::':....�,.�}.:w,.:;:.�:�i':::�.�::':.::::�.:.':,'�;::,'__;_;'1.:�.._j�:i�.,:�'�_::i'.::: <br /> �: ..�,.'��....�n'��. . �::• '':;\ ^':}F��"',��,���, <br /> .�„�.,,,....�.. - ?�:r-r. =- <br /> �..w.,»,t�:``.:'��s;i'w::f <br /> W-r-'^��."^.�ruW..�.��_;,:�-.ti�<���,_''�u�«r:� <br /> 7, CQ�NTRA�"f PRlC� *is 1.25°� af cantract price w'sth a (Mir�imurn fi��of$50.Oa) <br /> , c�'u <br /> �,lJ � l.�lJ� �� .���� � t...� �„1 <br /> (contract pr�ce) (rrti�irrtum$�0_t}0) <br /> �, aTAF�$URGHARGE <br /> r\ ��S <br /> ti <br /> �,+� v�,�TM7C.�}QV.�7 vi. _ ' �"� <br /> (corrtract -� ....._.____. <br /> p��) <br /> 3. P"QSTAG� S HAN�k�f NG �Qnly art Maif-Prti �Rpplic,a�ians) $ 2.�70 <br /> ��' <br /> 4. TQTAL PERMET F��(Acid �.irr�s 1-3 Abovej $ ��-.�a �, .... <br /> x GUNTf�',A,C"�" pt�IC� or ,�Og C(�ST mean� khe actuai ar estEmated cfollar amount charged for tk�� <br /> permitted wark inctudinq materi�l�, 1�bvr, prvf�t. and o#her flxed Casts. It is the ams�ur�t t:a be cl��rged �o <br /> the �us�orner tor Chc� v►rork cion�. �t any rrtaterial, equiprr,ent, lakror or in�t�ll�t�ons a�re €urrz�shed by the <br /> awn�r, tenant c�r any a#her party, tt�a reasvn�bla ena.rk�t va{u� af sur.,�i iterx�s must � adderf to #he <br /> astlmat�d cast nr car�trar.t pric� #"ar perrnit f�� purpo��s. �n the� �u�nt that t�e�r� i� � disperte on ihe <br /> amc��unt c�f th� jflb cost, the City may r�quest th� suk�missic►n a� � sl�n�d copy of the actuaE co�r#raet. <br /> �::.:::..:.,:.,�.—._.�,... .,.�.�,,. _ <br /> ,......,,.,.:•:>.::��-;;<;:;r.............:.:.::.. <br /> .>,- - •--<:...:.:....::.... ..:.�.,�,:�..-;. �:.;.:; <br /> ,-,:,:..;,.;....::.......:::.:.:.:..::.::,.>:;.,,,.._,;.:..,....�... . .. ...:> <br /> �._..:.„�,_-�.,.,.,—�n.,, <br /> , .. .. „ .� -, . ,... ,�.,.,.. <br /> _:�< - <br /> „�:�. :� <br /> r;;;;:�;;�;;u_;:,..< ,1��4�., �.:. <br /> .�ar ti::.:w_.,._.,,.,..,,.. �� <br /> i;:ir<;rrij�ei?_���. <br /> �..5.:,.� ' <br /> . . . . ...... . .. <br /> ..,^�.....:�:::>�..r:...:...:.....:..�,.. . ;�.:' .. <br /> ��� <br /> ...............::...... �.: . ., >::, <br /> �.':...^..:�:.::.::...:.........:a...a.:+..:;.... e .. e . . > . . . <br /> . .. ... ..;' <br /> ;' <br /> "�� . <br /> ... .. w <br /> ;;i�'' <br /> �� ::..,.,;: <br /> .:�r.�y y.�.,.,.:r... . <br /> ..;.'.,....:..• <br /> ,w...,.a.Wi�,`....uu..:....._...,..„,,,,,, . .. .,.n......... ..... .:,... y .;, <br /> ........�.:t::.,i•5;.,,.: <br /> . ,_ <br /> �—r-.�c.'��....._ ..� �.. ..:... �' .... ��.:'�::;;::;,;;..........:: <br /> ;,::e::�'•','•:::�: <br /> :.`. '.::;.-:.>..M:�:...::'�,.'.:��'::;:... <br /> ..,,..,:,.�...�c:.::�....vn.�c�:��iS'�.�....._ ..,i.., •::v:....: ...:...:�...r..,...::.; ,.y.....'�G..c.�,..� <br /> Th� �nr�ersigned hers#�y �ppCi�s tc� tih� �'rty for issuance 4f� Plumbi�g �?�:rm�, �gr�es �o c�a ,�il wark #n <br /> strict �cc�rdr�rir� with th� ardinance� af th� City and the r�yulafic�ns c;f the Sfiafe af MiRnesota, �nd <br /> c�rkifies tf�ar a11 staterr�errts made on this�ppl�c:atiart are complete,tru��r�d carrect. <br /> � F �+ n <br /> Applecar�t's Signat�re: ,,,,,�'_.`.'�•��'.,.�-�'�'""" �,.�.�Date:������i? <br /> Buildir�g C7fficial!Inspector:..,,. �..._., __�.��.�, ,�._� D�te:�.. ,r,,,,, M...,.,,_ <br /> Pags 2 <br />