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04/19/2016 10:32 FAX 9529335049 CULLIGAN NNTKA laolo <br /> • <br /> If above does not apply;follow guidelines below; <br /> I. CONTRACT PRICE *is 1.25%of contract price withWinirnum Fee of$50-00) <br /> x.0125$ f50___00 <br /> (cobtrarli price) (minimum$50.00) <br /> 2. STAT)&SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S5.00) -7 <br /> x.0005 $ <br /> (conw=pricc) (minimum S 5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) <br /> CONTRACT PRICE or JOB COST means the actual or estimated dollar amount 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 SURCHARGE is.0005 of the contract price under$1,000,000 or$5.D0—whichever is <br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. <br /> FIIRIR..&�Mffil_WWRI-k-l! <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: 44- Date: <br /> Iri"fl" s, <br /> Vol'— <br />