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Aug 19 15 10:28a Water poctors 7635351805 p.4 <br /> . <br /> :- . .. :.: . : "�.�'�1��:����LA'�If)I+� $ -:.T4�S:()V:��.��04.�D; . .__: ,. .. -; <br /> If above does not apply;follow guidelines below: <br /> (. CO�TRACT PRICE * is 1.2�"/0 of contract price with a(Minimum Fec of$50.00) <br /> x.0125 S <br /> (con[ract priee) (minimum SSO.UOj <br /> 2. ST�7'E SUItCRARGE <br /> x.0005 � <br /> f con iract pri cz) <br /> 3. POSTAGE&H.4NDLING(Only on:Vtail-In Applications) � 2.00 <br /> 4. TOTa1L PERI�IIT FEE(Add Lines 1-3 Abovc) $ <br /> • * CONTRACT PRICL- or JOB COST means the actua] or estimated dollar amount charged for the <br /> petmitted work including materials,labor,profit,and other fixed costs. It is the amouret to be chazged <br /> to the customer for thc work done. Ir any materiat, equipment, labor or installations aze furnished by <br /> the owner,tenant or any ot6er parly,the reasonable market vatue of such items must be added to the <br /> estimated cost or contract price for permit fea pur�oses. in the event that there is a dispute on the <br /> amount of the job cost,the Cih� may rcques[tlte submission of a signed cepy of thc actual conh�act. <br /> ._ :, - _ .. <br /> _ ::_. ; . _..�:PG��+��:��'�"P,P�'L�CAT�t�N,���A�T- �- ..', . . ;;:: <br /> The undersigned hereby applies to the Ciry For issuance of a Plumbing Permit, a�rees to do all <br /> work in strict aecordance with the ordinances of the City and the regulations of tl�e State of <br /> Minnesota, and ezrtifies that all statements madc on this application are complete; true and <br /> correct_ <br /> .�.:!/ <br /> � / � <br /> � -------- �j <br /> Applicant's Signature: . ;'C ��,��� Date� � // ��I,� <br /> 3 <br />