Laserfiche WebLink
04/02/13 04 :20PM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg 4 <br /> /� . • <br /> r�ur�,c�;cv�aTTo s -ro�s ov,�x ssoo.00 <br /> if abo�e does not apply;follow guidelis►es helow: <br /> 1, 'is 1.25°�b of aoatract price wit6 a(Mlnima�m Fee��30.00) <br /> 1� 34( D. b0 x.oa�sa (,o�K. �5� <br /> c�p�} �mimpmssaoo� <br /> 2. tRTA'TE SURCHAB� (,��.�L7 x,OU05 $ � '1 ' { � <br /> (co�ot Price) <br /> 3. P03TAG�&HAN�LINC3(Only on Mail-In Appliqttions) $ Z.00 <br /> 4. TOTAI,PERNIIT FEE(Add Linat 1-3 Abovo) � �B �' ` <br /> ■ • CONTRACf PRICE or J0� CO5'T meens the satual or estimsud dollar amount charged ;For the <br /> permitted work is�cluding materiAls,labor,prafit,and other fjxod cosis. lt is the atoount�o bv ch�ZBed <br /> b the customet for the wotk done. If any material,equipmeat,labor a�ittstallations are fumished by <br /> the owner,bepant or am other patty,tho reaso�eble market value of suah items must be addeci to the <br /> eatimated cost or oonbact prioe for permit fee purpoaes. It�t1�e avent that thea'a is a dispute on the <br /> �mount of the job ooet,the Ciry may cequert tl�e submiesion of a signed copy of the rctual conttsck <br /> P'Li3MBING PELtMIT ApPLICATIO�I�AGRETMBNT <br /> The unde�rssigned hereby Bpplia9 to the City for issuance of a Plumbir�g Permit, agrees to do all <br /> work in strict accordance with the ordinances of the Gity and the r�gulations of tbe 5tate of <br /> 1Vlinnesota, end c.�rtifies that all statements mado on this applicarion �re complete, true snd <br /> correct, <br /> A licant's Signature: Gt�-�/� Date: —r / <br /> PA <br /> 3 <br />