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Jul 21 14 01:03p Water poctors 7635351805 p.4 <br /> = - : . ,��.�-������,cuL�xzo�. s,=�oss r���sao;a� .. - : <br /> If aboa•e does not apply;follew guid2lines below: <br /> 1. CO�iTR.ACT PIZICE *is 1.25%of contract price�e�ith a(Minimum Fee of$50.00) <br /> � t � o xA225S V'�Q� � Q <br /> (cantract price) (miaimum S50.00) <br /> 2. STATE SURCHARGE �a S� <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAG�&HAI�DLING(On1y on 1�1ai1-In Applications) $ 2.00 <br /> 4. TOTAL PERM[T FEE(Add Lines I-3 Above) $ J��, �� <br /> ■ * CONTRACT PRICE or JOB COST mcans the actual or estimated dollar amotar[ charged for ttie <br /> permit�ed work ineluding materia(s,]abor,profit,and other fixed cost.s. It is tne amount to be charged <br /> to the customer for the �Nork done. Cf any material, equipment,labor or installations are furnished b;� <br /> the owner,tcnant or any other party, the reasonab)e market value of such items �nust be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that chere is a dispute on the <br /> amount of the j�b cost, the City may request the submission of a signed copy of the actual contract. <br /> _ ,., : . . <br /> . _. , ,. ..; p�,i�N18J1�i�''.x FEI�.�v1I'I'�PP�;xi�ATIC�1�1:.t�GREENl�.l�� :,. . .: . <br /> The under:igned hereby applies to the City for issuance of a Plumbing Permit, agrees to do a11 <br /> work in strict accordance with the ordlnances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: ' Date: /��'�� � � <br /> 3 <br />