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08/16/2p17 �ED 13: 00 F�►x 763 �73 8565 Sdbre xenting & Ai.r Cond f�00a/004 <br /> �. j'�+,hy �rA�tq,Y �1i41�i''��.�r.° f;,�l, � x :�• ' ��°�jf"'i'�i,�,,,.G^��;�!i'�F'i�' ��Vp�,,At�,,�I�'p <br /> ° ,��.'aT,'�:°�� A,i'� f� 7' }� � n� ��r"LY!M� :i !Y'P'ilrM <br /> 1. CU1V'11tACT PRLCE *is 1.25%of aontract price with a(Minimum Fee of$50�00) <br /> �IO .. ... x�.o125s_ _� ,�D���.��� <br /> (wnfruct price) (minlmum SSU.UU) <br /> 2. STA'I'Lr SURCI•IARGE <br /> ��a���x o005 $ 33•�� <br /> (uuntrucl priue) <br /> 3, POSTAGE 8t HANL7J,ING(Only on Mail-ln ApplicAtion�) $ 2.00 <br /> 4, �"U'�'AL PERMIT FEE(Add Lines 1-3 Above) S ����•� <br /> ■ " (;UNTRACT PR10E or JOB C05T means the actual or estimated dollar amount charged for the <br /> permittcd work including materials,labor,profit,and other fixed costs. It is the emount to be�harged <br /> to the custo�ner for the work done. If any matarinl,equipment,lnbor ur ineu�llf�tinns are furniahed by the <br /> owne�, tenant oc any okher party, the reasontsUlc m�rlcct valuc of sl�uh ite,ne muat bn �ddn�l to the <br /> estimated coat or contr�ct price forpermit fee purpoacs. ln�hc cvcnt that th�rc is a ciispute un the amount <br /> of lhe job eoat, the City may request tho �ubmission of a signed copy of tl�e acEUal conU•act. <br /> ,, � �'� ��+p:� , .f A�F;��.. 'q. <br /> i, '� <br /> The undcrsib�ned heXeby applies to the City for isaunnce of a Mechanical Permit, Agrees to do all <br /> work in atrict accordance with thc ordinanves of the City and the regulationa of the State of <br /> Minnosota,and certifies tltat all statements made on this applieation are eumplete,ttuc a�d correct. <br /> . Applicant's Signature; c--�,DVh,pl, �v,l �AUti��1,M�L6tK. Date: �')�i���(7 <br /> i <br /> 3 <br />