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12/14/2017 THU 7: 22 FAx 763 473 8565 Sabre Heating & Air Cond U007/007 <br /> 'hrkV" <br /> 410' <br /> n. KE <br /> 0 �'11. <br /> ' ' �.1") 1 .l rr v'+ A 1 P <br /> 1. CONTRACT PRICE r. is 1.25%of contract price with a(Minimum Fee of SS0.00) <br /> N-12.0 .10C, x .0125,$ 1°51.50 -.. .. <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> t2(").,0.00 x :0005 $ G.OLS _ <br /> (contract price) <br /> 3. POSTAGE&HANDLING Poly on Mail-In Applications) $ 2.QQ <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovc) $ 1501. 14 <br /> • » 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 arc furnished by the <br /> 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 fcc purposes. In the event that there is a dispute on the amount <br /> of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> lF�rr� �r"n !'Sf� �xailnt.i .irn�.v: .l . e m t ➢' Art'r • <br /> rad ,x,r dr y, i + 1 <br /> 1 1- 'Vr i� �' 'r r4 ` �ST Vit" r � i J .1 1 F c1� '� r <br /> '4t�#':;.r�.`� l>.� r?�I�f�(yti e !r?t�,�.iyG�ir..•�Ko..�ldP�7�.,71�; �"��1C ,rt. ..�r�'n�,��..,a.a'i.° ����T,\�S;i tlwA' ��Il'r <br /> The undersigned hereby applies to the City for issuance of a Mechanical 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 correct. <br /> Applicant's Signature: Ildl � q,kui( A1 Date: 12.16 r ZO1 ) <br /> 3 <br /> a*. 7 r,' _ "ifre r,' • .•_ q -'i4 fY' r,' . _ ' . -71 r,r . <br />