|
12/11/2014 14:35 FA% 9529�a5049 CLTLLIGAN MNTKA �004
<br /> ,,�r �+ ��� I '�y��r � ,�+ . � +/�/'�'(��,���yy-���e�an.�,'� c�;��,
<br /> �I '�'i`�7'����1.Za'��. I\i .mi �p�,� C� ��� �'°ltl��' �� � '�,V.Y'�!7�.v`"��Y� lklC.'�i����ti�,�,,��� _,�,�.
<br /> ti4;� �� a�nV���R,� N7.rtiS,.-"•�, d-:i6`.,, c ,�
<br /> If above does not appty;follow guidelines below:
<br /> 1. CON'1'RACT PRIC� *is l25%of Contract pricc with a(MiDimam Fee of$50,00)
<br /> x.0125 S
<br /> (contrnct pCiCe) (min�mum 550.00)
<br /> 2_ 3'I'p'I'E S RCHARGE **Add the State Bldg Code Div_Surcharge(Minimum Fee of 55.00)
<br /> x.0005 �
<br /> (con[s�i price) (minimum 5 s.00)
<br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2•�
<br /> 4. TOTAI.P�RMTT FEE(Add L.ines 1-3 Above) $_ aa• �v _—
<br /> ■ + CpN'I'RACI' pRICE or JOB COST means the actual or estimated dollar amount chEtrged for fhe
<br /> permined work including msterials, labor,profit,and orher fixed costs- It is the amount to be charged
<br /> to the customer for the work done. If any matcrial, equipment, tabor or installa�tion5 are furnished by
<br /> the awner,tenant or eny other party,thc reasonable market valuc af sueh items must bo added to the
<br /> estimated wst or contract price for permit fee p�nposes. In the event that there is a dispute on the
<br /> amo�u►t of the job cost,the City may request the submission of a signed copy of the actual contract.
<br /> ■ s�`The STATL'SURCHARGE is.0005 of the contrsat price under 51,000,000 or SS,Oa—whichever is
<br /> greater. For valuations ovCr S 1,000,000 call the Building X7epartrnent at(952)2a9-4600 for the price_
<br /> ,�� ��� � �; �,� � �°�;;�����. �'�;� ���p�� �'"� ���„ �� G���;r`���r�;�,��'..:�w���
<br /> ant� �� �,�� ,� �� �"'� ��,iY'd,k�� �4.AY.YV��`nr'r�4 r.,n o�;
<br /> 'The undersigned hereby a.pplies to the City for issuar�ce of a Plumbing Permit, agrees to do all
<br /> work in striet accordance with the ordinanees of the City and the regula#ions of the State of
<br /> Minnesota, and certifies that atl statements made on this appIication are complete, true and
<br /> correct.
<br /> AppIicanYs Signature: Date: �e�-I�� ��_
<br /> i��,q��,�'�i�����, • .
<br /> 3
<br />
|