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04/18/2018 WED 13: 06 FAX 763 473 8565 Sabre Heating & Air Cond U006/006 <br /> n i /r r i'qi h �i 1r y. �.• 01 •" }4p r <br /> 4�•r�� �,JP�I� ar„�f.,1,t��{h�T�vfS ZS /�'L`o "'� ^ i J.,f'r"',vc'F�,'y. �''°�""x!•.'n f4 i,;�„�i ii f.l;lirR��r �� e':Si�Fd.f�.M'. <br /> • f �M�.f ��-e 7 r'i• <br /> 1. CONTRACT PRICE * i 1.75%of contract price with a(Minimum Feu toff! _$50.00) <br /> 12S00•co x.0125`6 I lP.Q.•O 0 .... ... <br /> (canlrac price) <br /> (minimum$50.00) <br /> 2. STATE SURCHARGE!, <br /> x.0005 $ G•cl0 <br /> (contact pike) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,S}O <br /> 4. •roTAl,PERMIT FEE(Add Lines 1-3 Above) 5 I U.4O <br /> • * CONTRACT PRICER 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 thc <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount <br /> of thc job cost, the City may request the submission of a signed copy of the actual contract. <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: rA,yt,01/11 .p&MA MA/ Date: Li'I -2bi ' <br /> 3 <br />