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. * <br /> Ol/O8/2014 13:07 FAX 9529335049 CULLIGAI' MNTKA �004 <br /> 1 <br /> '� .�..�. : ,..;;°p��r���c��tc�ui;ATTo� �; ':h sb�s:Qv�R��oa:oo s. r ;,, ,. , <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of$50.00) <br /> x.0125$ <br /> (contract prica) (minimum$50,00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) <br /> x.0005 $ <br /> (cootract price) (minimum$ 5.00) <br /> 3. POSTAGE&I-TANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TQTAL PERMIT FEE(Add Lines 1-3 Above) $ �d . Q� <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 cpsts. It is the amount to be chargad <br /> to the custorner for the work done. [f any material,equipment, labor or installations ara 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 avent that there is a dispute on tha <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,OOO,Q00 or$5,00—whichever is <br /> greater. For valuations over$1,OOO,U00 call the Building Department at(952)249-4600 for the price. <br /> �� - �,-� yf <br /> n <br /> n t �.;n. 4 ,.,'�;�� ���- b ��3�� � 5 ri'f�(�� ,��+n �� <br /> ,.�_, � I ,di ,f:n _tt'�rby�i�.�, <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: 1 "S ' j Y <br /> <,�+�. �� , ,; <br /> ����3. �OI'i'#l� <br /> 'i� I,� <br /> 3 <br />