|
05/23/2016 15:31 FAX 9529335049 CULLIGAN MNTKA Z004
<br /> • r
<br /> �,`,nr,;,„��,)p,. %!• -pn�,`I;. d', F .",,., ,w7: W; i, i, ,",ly„,.y a�.do�iai�}I4 b,; 'y'i,v„
<br /> If above does not apply;follow guidelines below:
<br /> i. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
<br /> x.0125$
<br /> (contract price) (minimum$50.00)
<br /> 2. STATE SLIRCHARGE '**Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00)
<br /> x.0005 $
<br /> (contract price) (minimum 5 5.00)
<br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
<br /> 4, TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Sc), S
<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$5.00—whichever is
<br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
<br /> ' t„�, ,� •ri � -,i; .v(h �u a, r r. Pw7,txV{7�'A''G(x� Ni�,:aP.-�..�,rr.
<br /> V.r�;;;;�iir��?,i;I,C5:,9„�,,�i�-� f�`�;.�� 1�' ''.?�'�$ ,`T��1��'�`�' �D�'r��G�EF��IE �',.',���� ,:�.�;�,�,�, ��:,,, ,?�:�
<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:
<br /> }
<br /> L �...5 -�- Date: Jr- a 3 /
<br /> •
<br /> 3
<br />
|