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05/18/2017 TxU 13: 01 Fax 763 473 8565 Sebre Heating & Air Cond �004/007 <br /> , <br /> If abovc daes not pnply;f.o[low�,►uidellnes belaw: <br /> 1. CQNTRA�PRICL * tn 1.25%of wntract price with a(Minimum Fee uf S50,Ot!) <br /> �[..Yl�(D-�� x,0125$ 2„g'�. � <br /> (conlruclpncc) � (minlmun�S30.00) <br /> 2, STATE$URCHARGE <br /> x Z.q 7(�.�i X.oao5 � ���'�a <br /> (�tia�t���) _" <br /> 3. POSTAGL&T-IANDLING(Only on Msil-In Applications) $ 2.00 <br /> 4. TOTA,L PERNIIT FLE(Add Y.,ines 1-3 Abwe} $ dC7. �a -- <br /> � " CON'IZtACT PRICB or IOB CUST mean9 d�e actual or estin�ated dollar a�nour�t charged frn� �ha <br /> permit�ed work including n�aterials, labor,profil,and uthcx Fxed wsis. I�is lho amuunt ta be charged <br /> to tho customer for the work done. I[any matorial,oquipment, labor ur insrsillations are fi�rnished by <br /> the owner, teuant or any other party,the reasonable market vaiue of such items must be added to the <br /> estama,ced cost or contract price for pern�it fea pvrposes. ln the eveut t�hat there is a dispute on the <br /> amaunt of the job cost, the City may requ�t the submission of a signed copy of the actual contract <br /> Tho u».dexsigned hereby applies io tho City �ox issuance of a Plumbing Pennit, agrees to do all <br /> work in strict accordance with the ardinances of the City and the regulations of the State of <br /> Nlinnesota, $nd Certifies that all steitemerrts made on this application are complete, truc and <br /> correct. <br /> Applicant's Signature: (�,(�eld��_M�',.._ Datc: ..._...����:_�a..l� <br /> 3 <br /> i <br />