Laserfiche WebLink
07�23�2614 69 : 10 From : Leupke Plumb Right Plumbing Page : 3�3 <br /> ,....I� c ��;t o aX�- .�.....,�, . F�`, ...;.. _ - �t@'':�„- -�1'��'a�i�:: <br /> , ......,. :�,..>: .:;.- ,. . ,..:�: <br /> a� � �^ <br /> if above does not app(y;follow ec�idelir�es Uelow: <br /> 1. Ct)�17 RACT PRECE_ * is I.25ti/o of co��tract prire���ith a(��Tininium:�ee of�50.00) <br /> ��� �.a�?s�_.—.��°"�``� _ <br /> �cnntrac[pricKj (niiaimnm Si0.00) <br /> 2, STATF.SLtbZC�{ARGF. �* �.» �� <br /> 1..��!._....—._..............x.6005 � ___ .. r..� ! <br /> (cantrut price) <br /> 3. �C1STAfiE&FF�i�iDLINCx(Orkly on Mail-In App[icaticros) $ ?.O{1 <br /> J u�� <br /> 4. Tf)TAL PtiRMCT���:(Add Lines 1-3 Above) � :.'�� <br /> ■ * CO'�TRr1CT PRICE �r J06 C'(:)ST'��eans ehe actital or estimated dalkar amount cltar�ed for the <br /> perr��itted work incladir��mate.rials,iabc>r,graft,arid e�ther f�ec1 e�sts. {r is tlte an�aiErat io l�cE�.ar¢ed. <br /> to the cust�mer F�r the work d�ne, If any materiat,e�ui�r�iei�t, labor or installati�ns are furnished by <br /> the owner,tenant c�r any c�ther pariy,thc reasona�le�»arket vatue of such items muct��added t�che <br /> estimated cost ar contract price fc�r permit fee pwrposcs. ftt fhe e��'ent that there is a dispute an the <br /> amount�f t}�e,job ec�st,tlae City m�y request the swbn�issiori of a signeci eop��c�f ilae actual contract. <br /> � . : . ;, ,:,.. ,,: , � <br /> �:�: <br /> ��f����"���;�r`�, ����d.�� � � 'I��'�� ��'�,�•v�;���,'� <br /> The undersign.ed hereby applies to the C�ty for issuance �f'� Plumbin� Permit, �grees to do all <br /> �v�rk. in strict ar.cordance w'rfh the ord'anances 4f thc City and the regulations �f ilie State af <br /> Minnesota, and certifies that alI statenlents made cm. this apptication are e.antplete, true and <br /> corr�ct. <br /> �� �^��� � <br /> ��� :�.�� <br /> A�pli.eant's Signature: ��. �.._ 1ate: A. � <br /> � � <br /> � `���'. C���� ���:� .w ����t� ���� ���,�.. <br /> C���!��:� C����'� l�'i,���:� ��`� �'� �".�',��� <br /> �� <br /> ``���`�`I��� .,� <br /> 3 <br />