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03/15/2018 THU 14: 54 FAX 763 473 8565 Sabre Heating & Air Cond J006/006 <br /> ,0i r.y y- "^ id,/ .�,.rL, i . .i �,h yyV..,5 r .' n�',,/ir''i'�,.1.y �° toys' <br /> °": " :�r�y`I'J�,ly:( yl;�Utp .�,F4'� j}..(��KLI �L�I.SB3-'!"* I,�.v i.K� .T,{5y r.3Q/k`,,'r�, ',1.h <br /> ...� ��. �1..�'IT, v 'I r� �M1rY���,iry��bQ y1TH rl �R�C�.a� <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> A'l20,90 x.0125$ 12J•'b <br /> (crnivact price) (minimum 550.00) <br /> 2. STATE SURCHARGE /� <br /> 411000 x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 7„Q0 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 1 2-i•6(o <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 he 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, 1 n 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 /> • <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 ceilifies that all statements made on this application are complete,true and correct. <br /> Applicant's Signature: uLky Date: 5.15•Zoig <br /> 3 <br />