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. Feb � 9 , 2001 1 : 23AM NORBLOM PLUMBING No , 5215 P , 3 <br /> ,' . � . . � <br /> I ve does not a 1 �follow 'delines bolowc <br /> � If abo pp Y, � <br /> 1. CONTBACT��CE '�(s 1.23°r6 of con� ct prlce wlth a(MlN om Fee oi 535.00) <br /> � � <br /> ' x.0125 S <br /> (con prlce) (minimutn S35.OU) <br /> 2. ST�'(��CHARGE "�'Add tho State Bldg Code Div,Surchorge pVlinlmum Fee of S,SO) <br /> � x,OOQS $ <br /> ' (con pT;�e) (m nimum S .SO) . <br /> 3. POSTAC3E&HANDLIN(3(Only on Mail•� Applicatloaa) S 1.,50 <br /> 4. TOTAL PERNII'i'FEE(Add Linea 1-3 A ve) $ <br /> � . . , <br /> ■ * COIVTRACT PRIGB or J08 COST means the tual or estimated doller emount chargcd for ttie <br /> permitted work including materlals,labor�profit, other fuced costs. It ia the amount to be oharged . <br /> to the cuatomer for the work done. lf any mater eyuipment,labor or iostallstlons are ftimished by <br /> the ovmer,tenant or any other perty�tl�e reasonab market vsluo of euch itotns must be added to the <br /> estimated coat or contract price for permit foe pu�posee. In the ovent that there ie e dispute on the , <br /> aumouat of the job cost,che Clty may roquest the�ubmission oF a slgned oopy of the a�tust oonuect. <br /> ■ *; The STATG 3URCHARdE ia.0005 of the co at price undor$1�000,000 0�S.SO—whiobever Is <br /> gceater. For valuationa over 51�000,000 call the Bt�lding Depertment at(932)24 -4600 for tho prlce. <br /> i <br /> . Thp undersigned hereby applias to the City for iasusnce of a Plumbing Permit, a es to da all <br /> � wo�k tn shict accordance with the ordinances of the City and the rogulatioes o the State of <br /> Minncsota, and certifios that ell statements made on this application ero comp � true and . <br /> cnrrect, <br /> � Applicent's Signs'ture: ���r� Date: , <br /> � <br /> I . <br /> , . . <br /> � � . � 3 <br /> . . I <br /> �I <br />