|
� ' . '�'..
<br /> I
<br /> I
<br /> �..._._.._ ,.
<br /> .,,....._....�....-:-1� �p+,,.: ••
<br /> e��;S.�.�i4,�:wC.�:Yl�.y:.5�itr�•4��� ,:'n"�TG r' �b.ATy �r M'�'f):.�:':::A:Y�:�:Y\I'NI
<br /> . :.r,..:.�.i.,;�.r `"�:!Y:':`!.'7��%'�:�*'•.':• � " :�u, Y.F�,J�`.:����rmA•� I �'. s-?•�,��,�li;.Piw�H>
<br /> ,�:- ..:..�� ..... . .
<br /> . '� �'j(1.
<br /> . �.� -.� . .;. �:
<br /> , . , , . � ::
<br /> ..:..... ,�: h : .. . ... . ,. . , •....��... • ::�.: . .. ..'::..,.. .Yv�u '.,;:-�,'��,;..�,�.,.�..
<br /> r , -•� If above does�toL apply;follow guidelines below:
<br /> .,�;. �,� "�;. , .� �
<br /> ' .. 1- CONTRACT pRICE "is 125%o�contract price with a(Minimnm Fee o�'550.00)
<br /> �
<br /> �='I���!�� �r�����` ._. .: , �.. � , ,. ��v ' X.orzs s :�G • U �
<br /> I� c��w��)rT (!,q�uw�m sso.00)
<br /> ,�;� �;,,� .
<br /> '�:: , ,2. `:. T,E SURC ARGE ;:�i �
<br /> �� x_0005 S�',;:, '.,�� � I�
<br /> ._ (oontractprice) , . :
<br /> 3. ,POSTA,GE&H NpLING(Only on Mail-�n A,pplications) S 2.00
<br /> Y._, . . � d �
<br /> _., y..�, , _ S
<br /> � � ' 4. ',['O'�'AL�'�KtM FEE(Add Lines 1-3 Above) S � '
<br /> .:_ ■ * CONT�►,CI' �R10E r y0B COST mcans the acd�al or estimated dollar amount charged for the
<br /> permitted work includira materials,labor,profit,and other�ixed costs. lt is the amount to be charged
<br /> to the customer for the ork done. If ar►y material,equipment, labor o�installations are furnished by
<br /> tk�e owner,tenant or ae er party,the reasonable market value of such items must be added to the
<br /> esd�mated cost or con ptice for permit fee purposes_ In the event that there is a dispute on the
<br /> amounC f the job cost, e City may request the submission o�a signed copy of the acfa�al contract.
<br /> _.._ ..---- -:_____
<br /> —____ __ _. .., �_..._ _ _ . - -- -
<br /> �r� � �E;'r. ; .� -
<br /> ,� „ r �j , 3
<br /> �;�..,,M,,...,�;..�;•.•: »,� ,.� . . .,..;>::•:-.. �:.-.- ,
<br /> .�,. .,� ., �;
<br /> i•.V�"�i7'r�N,.�.k4k.ir,`df :.^.:�?... . -.... �;'.r. „�.���i ����"�r�v;�:'►�+i +�r.uRw.
<br /> . ... ..
<br /> ., > � ° . n�T;�• 1'�'�T .', . �„z�....,
<br /> ,, -.
<br /> . '`�
<br /> . :..s_''�.• "Rl!'� �r �. , . ,
<br /> �: , l�es n ,Ssuan�e of a Plumbing Permit,agrees to do��ll
<br /> Tl�e wndersi ned hereby app ' to the City �'or i
<br /> work in stri accordance with the ordinances��o��the:�iry and the xegulatioins of the State of
<br /> 1Vlinnesota, d c 'fies tltat a11 statemerrts made on this application are complete, true and
<br /> .. ��.�. .. ������; -.q i;Pr...��i,�y���� ra
<br /> ��:
<br /> � . `.4,,��` ......_.._. . I ' •.�I �....._ .
<br /> App�icant's .kP,�� ._ ' ��i�i"'�'w`'"'"'_ �—� �— I
<br /> � ,�� � c ;r Date:
<br /> ;..;�;�Y..^_..� ��.., ,. �,�„, f " / �
<br /> YS"� � � �M ,�u�?.�...�"� . �, � � .'IUV"..
<br /> W 4�4 ti���i'I '�L t w:iE_...i � � ..� «.�„..�... ...—"'--
<br /> .•�
<br /> � I i<�.S fra#�Y lWr�aKiT}5�1o.��� . � k•wf�-� ..
<br /> � V,iV.^�'�'w ,:. x� Ct1�.,,�'�--py—.1�'+'.rn,�wl:%w+
<br /> �.- :�!1,C.' . 6 . , ;7,, 3�l'... :)1 17)' ''''. .,l 9',
<br /> ,, �.k.
<br /> �' r'71s' ;�� r+;r�t�, ; !::,.i .:. i`_ � ut''1,�; s� ,. , i .r;�:'��1G ' , .i��t ,
<br /> ���;���,uis:� ����r�.•� :i��,r : ,,, �-�. �iri a� tyihz�_��-� � � ,��as��.��: r.;d b�
<br /> tt� ,rtiri:)r,s3' t�:t�a,a�t c� � , :i1ir m2c�Ke ,:,,� . nc•.t I, to u,
<br /> . ��r� ,.. ���s'. ;n. c., i .. , ir�„•.e;.. , , „ ., m tt.
<br /> :I*1i.i,ll1:`. �,`�� ���f.�.: 9U�' CL.� .. .�.. .. '1C, ll[` _CoSi". .. � .. �,i'�,. .,. �'tils:,
<br /> I
<br /> — --._. ._ T_.� _.. . .. . . _ _ .
<br /> . \ . .� Y .. . .. .. .� . ,. .. .. .. . __ _.
<br /> . ..�� -. . . . . �, �
<br /> � . . .. �ri::�.��.��.,�: : �.l ].
<br /> .. -
<br /> ,,.. ,., ,,.
<br /> ���; _ . � ,. � .� lx.. ,..... - -',..-.
<br /> '., , nce,=i �ae;l h�,j.�.,,, . _ '� , ,r i ��.i����c;4 _ ..i? . <ia'ai�
<br /> ;vo� . in s!.ri t. a�coic.u�, ,,i . � ,i� . , �� r,.. . , ; �i .,. «,�:c; r
<br /> .
<br /> ��'���,�� ;ot- nd r..ert�f� � ;,1' � ;���,,�t� � ���a' _ ��n r,, .. , :�i;, ,.
<br /> ;,�;:
<br /> < �c:
<br /> 3
<br /> �i7r11i.'11t''S �k�c�_,i'Ir.t�LiT�'� �+ � r ,.. �h�� . •- ' f�..."e: ��
<br /> ,,.
<br /> , , �^:n�l� .x .. . ,
<br />
|