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___ 08/18/2010 13:27 FAX 9529335049 CULLIGAN MNTKA 1�004
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<br /> If abova does not appiy;follow guidelines below:
<br /> 1. CONTRACT PRICE �` is 1.25%of contract price with a(Minimum Fee of$35.00)
<br /> xA125$
<br /> (contract price) (minimum$35.00)
<br /> 2. STATE SURCHA.RGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
<br /> x.0005 $
<br /> (contract price) (minimum$ .50)
<br /> 3. POSTAGE&HANDLING(Only on Mail-In AppIications) $ 1.50
<br /> 4. 'I'OTAL PEdtNdIT FEE(Add Lines 1-3 Above) $ ���-5�
<br /> ■ * CONTRACT PRICF or JOB C05T means t:�e actual or estimated dollar antount 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 con�act.
<br /> ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is
<br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
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<br /> The undersigned hereby applies to tUe City for issuance of a Plumbing Permit, agrees to do all
<br /> work in strict accordance with the ordi�ances 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: �' ��" �D
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