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05/07/2015 THU 18: 03 FAx �003/003 <br /> , • . <br /> � � <br /> If above does not app�y;�ullow guidalines below: <br /> � 1. TRACP P "is 1.25%of contract pricc with a(Minimum C�ee otS50.00) <br /> 650 x.oi25 S 50A0 , <br /> (wntraot prioe) (alnlm�m S.�A.O� <br /> 2. T RCHA <br /> x_0005 S .33 <br /> (oonlreet pria) �" <br /> 3� POSTAO�&I-IANDLIN�(Only on Mail-In Applications) $� 2.00 <br /> 4, '('OTAL PE1�1VX1T FEE(Add�.inea 1-3 Abave) s 52.33 <br /> • " CONTRAG"f PRICE or JQ� CO3T mr,�ans �he ac�tua� or estimated dollar arnount charged tor the � <br /> permiittod work inatuding materials,�abor,pmfit,snd other fnced cosb. ft ig�,hr,�muunt to be ch�rged � <br /> to the customer for tt�e work dona. If any rnaferiel,oquipment, labor or installetions sre fumial�ed by <br /> the owner,temant or any other party,the reasonabla markot value of suah items must bc sdded to the <br /> es�imaked caet or contrnct price �or permit f�ea purposes, ln the evant that thera 1s a die�ute on the � <br /> amoant of tiie joh cost,the Ci�y may request the submission of a signed copy of the adual contract � <br /> ' I <br /> � <br /> I <br /> I <br /> . i <br /> Tha undersigned hereby applias to the City �or issua�ica of a Plumbing Aermit, agrees [o do all � <br /> work in strict accordance rovitla the ordinancos of the City and the tegulatione of tho State of <br /> � Min�esota, and cerEifps that all statements made on this applioation are cornplete, tr�te and <br /> corroct. <br /> r <br /> Applicatti'8 Signature. „ D�E: <br /> lY( ���j��r f�0��/ I <br /> J r <br /> � I� �� cr�d�� ��l � � <br /> 3 <br />