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05/15/2013 11:44 FAX 9529335049 CULLIGAN MNTKA 1�004 <br /> _ <br /> . <br /> � �: . PERNTI'TF��,G�AI;CUL'AT'I(3N�S: ,�J'�JBS:O�R$500;D0. .';' '' - <br /> < <br /> If above does not apply;follow guidelines below: <br /> 1. CONTR4CT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> x.0125$ <br /> (contractprice) (minfmum$50.00) <br /> 2. STATE SURCHARGE **Add the State Sldg Code Div. Surcharge(Minimum Fee of�5.00) <br /> x.0005 $ <br /> (contractpnce) (minimum� 5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ c�o� � �� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amoant 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 fumished 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 coniract price under$1,000,040 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 /> ' pL��ivr��t���c�n��i,ic�mr�on�AG��iv�rr�� ��,,',¢��� .r�,T:¢ '°,�;e, <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 cartifies that a11 statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: � Date: - �S- { <br /> ,;��,;,�'�':�'��="�"r'"rt'."�,,� <br /> !'�5,�'�;l������1; <br /> >K.;.:t,t4"1... s.l:, ..`�C . . <br /> 3 <br />