|
01/22/2015 13:31 FA% 9529a�5049 CLiLLIGAN MNTKA 1�004
<br /> .
<br /> �1���5{�1'e,�'�t`�?�14�'6��4 ,�I' y � ��, �; , tli.�I�Mq�G ,�rti.,qy?r
<br /> •ir� r i P� i i f�w, �
<br /> ' a� � � ,��: `'.�.�,�,�.., 1�7' k#'��''Q.T�!•'����(�iQ:�, „�a;'�.h'?F��'r1�;";.a,;.
<br /> If above does not apply;follow guidelines beIow:
<br /> ]. CONT�tACT pRICE *is 1.25°�of contract price�with a(Minimum Fee of 350,00)
<br /> x.0125$
<br /> (conuac�price) (minimum 550.00)
<br /> 2. S1'A'Y'�SU�CHARGE �'Add the State�Idg Code Div.5urcharge(Minimum Fee of 55.00)
<br /> x.0005 �
<br /> (COntmctprioe) (minimum$ S.QD)
<br /> 3. P057'AGE&HANDLING(Only on Mail-ln Applications) $ Z,00
<br /> 4. TOTAL PERMIT��,(Add�,ines 1-3 Above) S c��,0�
<br /> ■ s CpNfRACT pFt10E or 30B COST means the actual or tstimated dollar arnount charged for the
<br /> permitted work including matcrials,labor,profit,and other fiaced costs. 1t is the amount to be r.harged
<br /> to the oustomcr for the work done. If any material,equipment, labor or installations are fumished by
<br /> the owner,tenant or arry other parry,the re�sonable market value of such itcrns must be added to the
<br /> estimatGd cost or eontract price for perni,it fee purposes. In the event that there is a dispute on the
<br /> �no�mt of the job cost, the City may request the submission of a signed copy of the aetu&1 corrtract.
<br /> ■ *{The STA7'E SUIZCHARGE is.0005 ofthe contraet priec under$1,000,000 or$5.00—whichever is
<br /> grcatcr_ For valuations over�I,000,000 ca11 the�uilding Depertment at(952)249-4600 for the priee.
<br /> ur�5�sc� 'i. f'N�=T � ° � 1�� ?r�a}� ,� �.' "" uI� � i�° �,ir �rt��, t�,e
<br /> �Fy�;� ,x' .� +IP.�wA,l� .�!,.�` '�� � lJ�" .�' �f�� ,.;t�,�`M�I�l2���;6�7'i��,�''�=u;�?;(�'
<br /> The undexsigned hereby applics to the City for issuance of a Plumbing Permit, agrees ta do all
<br /> work in sMct accordance with the ordinances of the City and the regvIations of the State of
<br /> Minnesota, and eertifies that all statements madc on this application are eomp]ete, true and
<br /> C017CGt.
<br /> Applicant's Signature: bate: � -ao�� �
<br /> ������ w�
<br /> „�iA��R2+�.�titi,v,d;!��,�'�'rr�
<br /> 3
<br />
|