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10/17/2011 12:39 FA% 9529335049 CULLIGAN MNTRA [�004 <br /> , . , <br /> ��. ,,�.. •.F�:`PE�lvt�'i'• �����I:?At't ''�1• �:=R;,jO .��.�V�i�;���Q'00,�,:;;�. : <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> x.0125$ <br /> {conIIact price) (minimum$50,00) <br /> 2. STATE SURC�GE '�*Add the State Bldg Code Div.Surcharge(Mieimum Fee of SS.00) <br /> x.0005 $ <br /> (cantracr price) (minimum S 5.00) <br /> 3. POSTAGE&HP►NDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S a�•O� <br /> � * CONTRACT PRICE or JOB COST means the actual or estimated doUar amount charged for the <br /> permitted work including materials,Iabor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the wotk done. if any material. equipment, labor or installations are fumished by <br /> the owner,tcnant or any other party,the reasonable merket value of such items must be added to the <br /> . estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the <br /> amount of tho job cost,the City may request the submission of a sign� copy of the sctual contract. <br /> � **The STATE SURCHARGE is.0005 ofthe contract price ander 52,000,000 or$5.00—whichever is <br /> greater. For valuatione over$1,000,000 call the Building Deparbnent at(952)249-4600 for the price. <br /> .� <br /> The undersigned hereby applies to the City fot issuance of a Plumbing Permit, agrees to do all <br /> work in sttict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made an this application are complete, true and <br /> correct. <br /> Applicant's Signature: � Date: �� - (7 - �� <br /> . � � <br /> , <br /> 3 <br />