2017-01034 - plumbing - Laserfiche WebLink

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08/29/2017 TUE 5: 10 FAX 763 473 8565 Sabre Heating s Air Cond j007/007 �I.i: .. -��.n..., .. l� �I � d. , ( I �� II, �"E�� . � r1•�� i i l �i, a°yY�i�(,I El F '�, If above does not apply;follow guidelines below: I. cQETRACT PRICK " is 1.25%of contract price with a(Minimum Fee of$50.00) LJ�I254.00 x.0125$•. 31,514 (contract price) (minimum$50.00) 2. STATE,SURCHARGE 2finciz0 x.0005 $ (eOnlrAot price) 3. POSTAGE&I-IANDLING(Only on Mail-in Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3'32-.51 • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment,labor or installations are furnished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. G.c,.i�,�l��lt_r � ��,Gf ��. � I` ; The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Z-4y►144./ ,S.‘44440.tait.) Date: ' Z ii _ 3