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FROM {FRI)JUL 31 2415 8:44/ST. 8;43/No.7517272283 P 3 <br /> . . -ti . <br /> If above dces not spply;follow guidetine�bclow: <br /> 1. COL�iTBACTPRiCE •is 1.25%of conaract price with a(Mmiuwm Fee ot S30.A0) <br /> x.Q125� <br /> (cana.cc p�ix) (�i��:M) <br /> Z. <br /> X.Q�S s <br /> (�►�IP�+�) <br /> 3. POSTAG�dt Fi�1NDI,ING(Only an Msil-In Applications) S 2.00 <br /> 4. TOTAL P�Rl1�'I'F�E(Add Lines 1-3 Above) � <br /> � '� CONTRACT P'RTCF nr JQR CnSf inean-4 the ectual nr eAtimated dollar amo�t charged for the <br /> penniued work including materials,labor.profi�and other!'ixed costs. It is the amouat to be chuEed <br /> to th�e customer for the work dona If any ma�.erial,eyui�men�labar or irstallations ere furnished by <br /> the ownor,benant or any othar pactq,the ressonabic market value of sueh itertu muat be added tn the <br /> estimated cost or contract pricc for pccmit fce purposes. !n t}�e tvtnt that Ihere is�dispute on the <br /> amount of thc job cost,thc City may rcqucst thc submds9ion of a signed copy of the aecua)eonaect. <br /> ���:i��4����;;,�.��'�K ,.�!� � � <br /> The un�ersigned hereby applies tq the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accondance with the ordinances of thc City and thc rcgulati�s of the State of <br /> Minnesota, and certifies that all statements made on this application �rc complcte, tru�c and <br /> comect. <br /> � <br /> Applicant's Signatare: Dete: �v � <br /> 3 <br />