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Sep 22 1408;22a Preferred Plumbing, Inc. 952-447-5764 p.2 <br /> PE12M1T FE�CAL;CULATION.S -;JOBS O�ER$SOO:�a <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRiCE *is 125"/0 ofcontractprice with a(Minimum Fee of$50.00) <br /> ��OOO , °a s.Ol2S�__� IOO, Oa <br /> (contract price) (miuimam SSOA�) <br /> 2. STATE SURCHARGE <br /> � $OC�b ,o v x.0005 � '-� . °o <br /> (contracl pricc) <br /> 3. POST.�GE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERI4IIT FEE(Add Lines 1-3 Abovc) s <br /> ■ * CONTRACT FRICE or JOB COST mcans the actual or estimated dollar amount charged for the <br /> pern►itted work including materials,]abor,profit,and other fixed costs. R is the amount to be charged <br /> to the customer for the work done. If any material,equipment, labor or installations are fumished by <br /> the owner, tenant or any otFier party,the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes_ in fhe event that there is a dispute on the <br /> amount of the job cos� the City may request the submission of a signed copy of the actual con�act. <br /> PLLTMBTNG PERMIT APPLICATIOI�T AGREEME]��T <br /> The undersigned hereby applies to the City for issuance of a Phunbing Perrrut, agrees to do all <br /> work irz strict accordance with the ordinances of the City and the regulations o€the State of <br /> Minnesota, and certifies that all statements made on this appticarion are complete, true and <br /> correct. <br /> Applicant's Signature: �- Date: `'1� Z-t� I i-} <br /> 3 <br />