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08/28 2017 TUE 8: 10 FAX 763 473 8565 Sabre Heating s Air Cond 2004/007 <br /> ORMAS w I21;ti'S.:152�.�'�9a' �00,3AW�I.3I�j`f Iy r 7 <br /> l, CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 2.m.00 x.0125$ 111150 <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> Li17.P.00 x.0005 $ MOto <br /> (contract price) <br /> 3. POSTALE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 14'D.51,p <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 eustumer for the work done. If any material,equipment,labor or installations are furnished by the <br /> ownt,r, 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 /> Ill r 'f.IJ I�j sy��,�s 7, ��y� 1n \ L u (� <br /> 5..I s I.Z.i'rk�'�x '"����S�kf`�i -_, �,_.,u,Vl�. �.?_DNdhrIt ,r� .c��YM� w�i .4?;k !;�I?�q(k:����,3�1r31�1.. M <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; I i,fl,L t/ 1 AJ4 jt / t, Date; 24• 10/7 <br /> 3 <br />