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2012-04-12 06: 7 UNITED HEATING&AC 61�52�656� » +9522494616 P�/� <br /> 1f above does not apply;follaw guidelines below: <br /> I1. CONTRACT PR�CE *is 1,25%of conuact price with a(Minimum Fee of SS0.00) <br /> � : <�, _, U � <br /> ,� � � <br /> xA125$ <br /> � ���.� (con cc price) (minlmum SS0.00) <br /> � ')�� <br /> E� �'C� 2. STATE SiJRCHARGF <br /> �' {�v' x.0005 $ <br /> �(' (convact pricc) <br /> � <br /> 3. POSTAGE&HANDLING(Oaly on Mail-In Applications) $ 2.00 <br /> I �I 4. TOTAL PERMiT FEE(Add Lines 1-3 Above) $ <br /> i <br /> _ �,_ <br /> • '' CONTRACT pR10E or J0� COST means the actual or esemated dollar amount charged for the <br /> - permittcd work including materials,labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done, If any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, ttte reasonablc mar�Cet value of such itcros must be added to the <br /> estimated cost or eontract pnce for permit fee purposes. Ip the event that there is a dispute on the <br /> amount of th�job cost, the City may request the submission of a signed copy of the actual eontract <br /> The undersi�ned hereby applies to the City for issuance of a Plumbing Permit, a�rees to do all <br /> work in strict accordance with thc ordinances of the City and the r�gulations of the St�te of <br /> Minnesota, and certifies that all sta.temcnts made on this application are complete, txue and <br /> correct. <br /> Applicant's Signature: f• �r U� Date: �� /� �� '�� ��� <br /> 3 <br />