|
06/22/2010 14:08 FAX 9529335049 CULLIGAN MNTKA 1�004
<br /> , �r
<br /> <.,,. .:,� - _,z' "�-;i:;�, �:�'" �.sf;:^'': r_c;:;�,�.'=<: �-'i
<br /> . .��;?'� 'a'. "�c' �r ,c,•''r;i't.'a.�.
<br /> iij;,`' ��C. .I'<1.'.t..
<br /> ,,,;,� ,:; ,.� PE�rII'�FE�;�AtiC�7L1��'IpN S;: �0!BS.:�O�R$50:'�;;Q� ,,
<br /> If above does not apply;follow guidelines below:
<br /> 1. CONTRACT PRICE �'is I.25%of contract price with a(Minimum Fee of$35.00)
<br /> x.0125 $
<br /> (contract price) (minimum$35.00)
<br /> 2. STATE SURCHARGE **Add the SYate Bldg Code Div.Surcharge(Minimum Fee of$.SO)
<br /> x.0005 $
<br /> (contract price) (minimum$ .50)
<br /> 3. POSTAGE&HANDLING'(Only on Mail-Tn Applications) $ �i�9� c���V
<br /> 4. TOTAI.PERMIT FE�(Add Lines 1-3 Above) S_ �� ' S Q
<br /> ■ * CONTRACT PRICE or JOB COST means the act��al or estimated dollar amouat chargad 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 f�e 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 actuaI contract.
<br /> ■ ** The STATE SURCHARGE is .0005 of tlie contract price under$1,000,000 or$.50—whichever is
<br /> �
<br /> greater. For valuations over$1,000,000 call the Building Departm�nt at(952)249-4600 for the price.
<br /> 4¢� � 3 �3��4 ��t� ,�r� g' }��^ji� ' �j" �i��` 4y a�^ � 4 tp
<br /> ya�i{fir�,��Rt��I.;!1 t.1.y��£��`Y�i'r3 � !4�`I"��',.%�;�. j� . <f,11�Y:t �1'�,�IU'r'1�i..t„i I� ,}�� ` i���• i. F<fi�
<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: Date: b�ao� ► � �
<br /> � �;�
<br /> !I�� � ni�,)l��1 1���+hi'.;� p1���lU�U� � � i;-i i� � rf, _ '
<br /> ;��� � �;�Reseti F�orm � �.��,� _
<br /> __.�Y�.,..M.L`i��_tt��..���..�',r�,_., ,,;1....�. �d " >,,.rz... ..
<br /> 3
<br />
|