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02/28/2013 THU 13: 44 FA7t 763 473 8565 5abre Plumbing & Heating �jOUQ/015
<br /> If aUove does not apply;follow guide(ines below:
<br /> , .��: , ,
<br /> 1, CQNT'RACT,�'RICF * is 1.25%of contract prica with a(Miniroum Fee�f$50.00)
<br /> � ,� ,. � ��� �
<br /> _._ ��:.....� i'::> �:t�..'' x AI25$ 1�.�.;�; . ta i_i
<br /> (coruruct pricc) (minfmum 530.00)
<br /> iQ' ,.'I 17
<br /> 2. S'rATE SURCHAItGE
<br /> . ,.� ,. !1�-? �, (:'C� X,000s �_ °_; �,'i.�>
<br /> _ . ._ _--. <conUact price) •
<br /> t•�- 3. POSTAG�&HANDLING(Only on Mai1-Tn'Applications) $ 2.00
<br /> '.�.:11 ,
<br /> 4. 7'O'X'AL1'�TiNII'TrEE(AddI.,ines t-3 Abov�) $ �'_:,.%. ���� �
<br /> • � CONT12AG7` PRIGr or JOH COST m�►ns the actual or estimated dollar arnou»t charged for the
<br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chargecl
<br /> o:!,i;,-z�t 3 T HT,7 :.�o�l1e ci:�8d�mc�fbr�19�wf5fk dor�`if�ny t�1�.�t1s#1,5ec�uip'rne[##,'-}A�or or instxll�tions are fumished by �o o a�01.5
<br /> the owner, tenant or any other party, the roasonable market value of such items niust be added to U�e
<br /> estimated c:wst or contra.ct pr•ice for }�ern�is f� �wrposes. In the avent thai chere is u dis�ufe on �l�e
<br /> amount of ti�e job cost, the City may request the subn�sssian of a signeci copy of tho actuai conlract.
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<br /> The undersi�iie'�1�rebp'�ppties to the Ciry�for'issu`ai�ce of a�Plum�iuig Y�erini�,"agrees�to do all
<br /> work ut striet accordance with the ordinances of the.City and the reg�lations of tl�,e State of
<br /> Minnesota, and certifies !]sat all statements ma�e+oa-:this appli.carion are Q�nsplete,=�►e and
<br /> correct.
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<br /> ��.{�a;t �� ��i:�c.._._.._._ Date: � ��<., f
<br /> Appltcaut s Signature: ��'.J.�.�1�' � � � {,./ ...�
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