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12/14/2017 THV 7: 22 FAX 763 473 8565 Sabre Heating & Air Cond F004/007
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<br /> If above does not apply,follow guidelines below:
<br /> I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50,01)
<br /> IL iia.aOo x.0125 $ Zf711•(o-3.. --
<br /> (con(ruct pnce) (mltlltnum s5O.6b)
<br /> 2. STATE SURCTARGE c xx(�
<br /> P110 .00 x.0005 $ O '�1
<br /> (contract price)
<br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
<br /> 4. TOTAL PERMIT FEE(Add Lines 1.3 Above) $ 12-0.02..
<br /> • w CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
<br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
<br /> to the customer for the work done, If any material,equipment,labor or installations are furnished by
<br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the
<br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
<br /> I amount of the job cost, the City may request the submission of a signed copy of the actual contract
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<br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
<br /> work in strict accordance with the ordinances 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: zli ,keLA,u,t) _„_ Date: I2- I5,2.0i-7
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