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12�r30/20�13 15:10 FAX 9529335049 CULLIGAN MNTKA 1�004 <br /> � <br /> '`'P�RI'vtI�'FEE�CA�,C�TL�A'I��3*] � ;�A=-�,JOBS-(�VER,�SOO:OD „ , .; 'r,.. , ;; ;; <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1,25%of contract price with a(iVlinimum Fee of$50.00) <br /> x.0125$ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div,Surcharge(Minimum Fee of S5A0) <br /> x,0005 $ <br /> (contract price) (minimum$ 5,00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TQTAL PERMIT FEE(Add Lines 1-3 Above) $ �� , (�(� <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 costs. Tt is the amount to be charged <br /> to the cvstomer for the work done. If any material, equipment, labor or instaliations are fizrnished 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 reGuest the submission of a signed copy of the actual contract, <br /> ■ **The STATE SURCHARGE is.0005 of the contract price under$1,000,040 or$5.00—whichever is <br /> greater. For vatuations over$1,OQ0,000 call the Building Deparhnent at(952)249-4600 for the price. <br /> ��a-:• - ,� , .,� � <br /> , , , <br /> ; �, � , , � + , �� � . _ � <br /> . . y � �:� q ��� � � <br /> , � Y � t � o 0 <br /> .}.� ,,�I�t4� �P . r;",� • 4 �� � �l � '� � � � .q 7 . 1�� rJ �-. <br /> ,v..' ,. .35:.�.i_.. , ........�M1...*_ �.. __-.._ . . '. . '�i ,f�., '1 1 _{"E'{. .1 4 f .�-0j' <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do al] <br /> work in strict accordance with the ordinances of the City and the regulations of the �tate of <br /> Minnesota, and certifies that atl statements made on this appiication are complete, true and <br /> correct. <br /> Applicant's Signature: Date: j ���� - 1� <br /> f��s��Poit�i>: <br /> 3 <br />