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10-05-2001 11 :57AM FROM SUNRISE_PLUMBING. INC 7634975061 P. 5 <br /> �p,;RIYIIT I'EE CAY.("CJLATION . , <br /> ` 1: 1.25 9b of Con�ct ri e* or �5,��. � <br /> � x ,0125 � �. <br /> , (coatxut prica) ` <br /> Z. �ta� Surchars�e. #* Add the Stat 8ui1 ' Code Di�►ision <br /> �: . <br /> � Surcharge.to eacb pcnaic. � � x .()A05 $ ���,_ <br /> (concract pcica) <br /> or $.50, whichevtt is greater <br /> 3. �ostage � Ha�dtine. (Only tt�ail-in applicatioas) $ <br /> 4. TOTAL PFRNSIT �E (Add line�► 1-3 above) � .� <br /> • CONTRACT PR10E.or 108 COST mtaas tbu aavat or escimutd dollac sm�ouat ebu�ed ioc tba permitted <br /> wotk iacl�tdiAg muarials, ubor. pcofu� �ad otDer ipced eosti. It is tLe amouAc to be�ebuged to eho <br /> watoe�e�lor tha work do�e. 1f aay matedal�equlpm�at.labor,ar iast�llacioa are l�uais6ed by the Owaer, <br /> ceaaac or aay o�bu parry the reasonable marrn value of such i�ems an�st be addeQ to the escuaacod eosc <br /> ot vontraet pria fot pera�it fee pucposq, la�ha.evaoe�hac thae i�a di:pute oa�he emount of the job coat, <br /> the Ci�y msy reques�.tbe wbroissiot�of a a�;ned copy of tbe acnuf coatrau, <br /> .,. <br /> +�' 1'!�e STA'C� SURCHAAC3B is .00OS of tbe voauace price uada St,000,000 0� 5.50 - wl�i�hever is <br /> eceater. Fo�valuativas ova S1.00O,WO cAU t�e Depactaunt of Ir�speedonal St:vices for the price. <br /> The uadecsiEaed hereby applies to tbe Ciry for ance of.a Plumbing Penait, agrees to do all <br /> work in strict aceordance with tbe ordl�a*ncrs f e Ciry and ttie reguiatioas of the State of <br /> Mianesota, aad certifics that ull statemcats on this appYicatioa are complete� true and <br /> correct. ` <br /> , /a/s Q <br /> Appucant s S�gnature: Dau: /� <br />