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69/15/2015 12:07 FAX 9529335049 CULLIGAN MNTKA 12]004
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<br /> If above does not apply;follow�guidelines below: +
<br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of S50.00)
<br /> x,0125$
<br /> (colttraci price) (minimum$50.00)
<br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S5.00)
<br /> x.0005
<br /> (coiwacrpricc) (minimumS 5.00)
<br /> 3. POSTAGE&HANDI.TNG(Only on Mail-In Applications) $ 2.09
<br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
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<br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar a bunt charged for the
<br /> permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged
<br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by
<br /> the owner,tenant or any other party,the reasonable market value of such items must be added to the
<br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
<br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract.
<br /> ■ **The STATE SURC-IARGE is.0005 of the contract pricc under 51,000,000 or S5.00—whichever is
<br /> greater. For valuations over$1,000,000 call the Building Department at(452)249-4600 for the pricc.
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<br /> --REM'�7r ry ri+,� t1=f' 'I i�{r.��'nn•'�+�'^A"'M:+FIi��%'i:rG•�r�l���r{l!"r'�yeV!':iY�l�ltir'.+-C + 17L�,';' 1. Y, ' c�r' �r:L�'�'.(x rf'W.11VLll"v�1J n��r�'�, �M 'rrf.�Y•7A:!•f:'rl!�;i����'.r•,rl qr i,;�,..+V
<br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
<br /> work in strict accordance with the ordinances of the'City and the regulations of the State of
<br /> Minnesota, and certifies that all statements made on this application are complete, true and
<br /> correct.
<br /> Applicant's Signature: Date_
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