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03/08/2018 THU 14: 19 FAX 763 473 8565 sabre Heating 6 Air Cond 007/007 <br /> • <br /> . „ Ei ri l t it c: i> ��;, <br /> I. CONTRACT l'RACT PRICE cs 1.35%of contract Pries with a (Minimum [4 r of S5O.00) <br /> x .0125 $..- - 24q_ ......--.. . <br /> (CC ,,z,,p1 (minimum 55(10(i) <br /> 2. STATE,SURCHARGE <br /> AcIctoto x .0005 ..- <br /> .. _.,... (eonlnicl price) ._._.._. <br /> 3. POSTAGE&I-IANl7LING(Only on Mail-In Applications) $ --. .. ..,7..00 <br /> 4. TOTAL PERMIT TCG(Add Lines 1-3 Above) 7.14.fir <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 are 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 fee 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 /> .r, 7.7,cr-,Fa �',uQ....2 ,.��:..1. � itAr "ray,•S-� ( 't'1"C� �� I E ' a�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 rel;ulations of the State of <br /> Minnesota,and certifies that all statements made on this application are complete,true and correct. <br /> Applicant's Signature: p1o14/(.tt Lgtothdia. Date: -$'2 r� <br /> • <br /> 3 <br />