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08/28/?012 TU8 11: 19 FAX 763 673 8565 Sabre 8lumbinq 6 Heatinq �006/007 <br /> If above doos not apply;follow guidelines betow: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00) <br /> Ib �1`i-Oa x.o�2s$__ lZ.�j. (o� <br /> ccm�rootp�a) cmm�mum sso.00� <br /> 2. �TATE SURCI�ARGE <br /> �O'J'7 S•C�O x.00OS $__ 5•(�i <br /> (ooniraot price) <br /> 3. POSTAGE&HANDI.ING(Only on Mail-In App(ications) $ 2.p0 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �3�-}_�g <br /> � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including mat�ials, labor, profit,and other fixed costs. It is the amount to bc charged <br /> ,_. . to the cu$tomer for the work doae. If any material, oquipmont, labor or installations are furnished by <br /> the owner,tenant or any other party, the reasonable market value of such itoms must be added to the <br /> estimated cost or contract price for pern�it fee purposes. Tn the evenC that tliore is a dispute on the <br /> amount of the job cost, the City may cequest the submission of a signed copy of the actual contract. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the or.d.inances of the City and the regulations o£ the State of <br /> Minnesota, and certifies that all statements ma.de on this application are complete, true and <br /> coirect, <br /> Applicant`s Signatwe: O^�..aA��Q�.ULU�A.�,(,UU Date: �•Z�•LD(Z.. <br /> � � � ' II � <br /> 3 <br />