Laserfiche WebLink
Jul 23 13 10:24a NORTH ANOKA PLUMBING 763-213-1390 p.2 <br /> PERMI'F FEE CALCULATION S —JOBS QVER�500.00 <br /> If obave does not apply:foklow guideliues belon�: <br /> ], CONi'FZaCT PRICE * s 1.25%of cont��act price�;7th a(i4finlmum �ee of S5U.00) <br /> -� � SZ�o o Y.o��,s�' l �� . �c� <br /> ( nvactpsice} (minimu�nSSb.00} <br /> ?. STATE SURCHARGE <br /> '� � � O C� �� �.0005 S �. �D <br /> (coatract pricc) <br /> :. POSTAGE�H4NDLl�G{Onlv on I�iail-I❑:�pplications) S ?.00 <br /> S. TOT_aI.PERMIT FEE(Add Lines 1-3 Above) S `� � � � , �(') <br /> ■ � CO�i'IRAC'C PRICE or JOB COST means the actual or estimated dollar amount char=ed for the <br /> permitted worlc inclucing materials,labor,profit,and ather fieed costs. It is the amouni to be charged <br /> to t��e customer for the�vork done. If az►o material,equipment: ]abor oi•installaaons are fuinished b,� <br /> t��e o�mer,tenant or an}�othe�•party,the reasonable markec�•alue of sucti ite�ts must be added to the <br /> estimated cost or =ontmct price for permit fee puzposes. In the e�ent that there is a dispute on the <br /> a�ount of the job cosG [he City may reguest the submission of a si�ed cop� of the actual consact. <br /> PLUMBING PERMIT APPLICATIdN AGREE1viENT <br /> The undex5�i4ned hereby applies to the Cin� for issuance of a PlumbinQ Fermit agrees to do a1l <br /> work in strict accordazace «�ith tbe ordinances of the CiEy and the r�ulations of the State of <br /> 1l�Iiunesota, a�d certifies ihat all statements made on this application are complete, true and <br /> COYC2C[. <br /> � <br /> �ppli�ant's Si�nature: Date: "�--2..3— (� <br /> 3 <br />