Laserfiche WebLink
09/15/2016 08:47 FA% 9529335049 CULLIGAN MNTKA f�003 <br /> . � <br /> e� w� 1.�p �lry�� ,�5iy`r` IAJi vM y `M�iwg�w��rx��"9�"i��� �l�M��i�w" '���",kl 1� <br /> iF�M1I � ���x��1 wl ip pWl,�P�Y`M"W��MWµ�I � �� �G 1 4�i � ,�\� ���WYti r���i"I�w.*wa�������w�i "'�P.:."1��. <br /> ' �� �p e��mymjawx� ��'�a'�" 'rrair a��:1� � ��i�l��,�47i��11,t����,,,���,�„�„���{M'L:'l,��mr,.i.:.. �/�i w�� sM.r 0 <br /> �194 f ATm�..� <br /> FSXIURE BSMT �sr zNo ()TyER FIX7URE BSMT 1 2ND OTHER <br /> �yp� Floor Floer "fYPE Floor Floor <br /> Water Closet Floor Drains <br /> Lavatory Sewer�jector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> e �*� � � d �� � �, �;�. .�.� `�. "'' �y �;'��,'�"�""' �� '� "�` ,:�� <br /> � " '��,.�a nv � ��� ,� „' �,i.. w. <br /> 1. CONTRAGT PRICE *is 1_25% of contract price with a (Minimum Fee ef$5�.00) <br /> x.D125 $ <br /> (contract price) (minimum $50_00) <br /> 2. STATE SURCHARGE <br /> x .0005 $ <br /> (contract price) <br /> 3. POSTAGE & HANDLING (Only on Maif-In Appiications) $ 2.00 <br /> e}. TOTA� PERM17 FEE(Add Lines 1-3 Above) � �a ' � <br /> * GONTRAC7 PR10E or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including mafierials, labor, profit, and other fixed costs. It is the amaunt to be charged fo <br /> the customer for the work done. If any material, equiprnent, {abor or installations are furnished by the <br /> pwner, tenant or any other party, the reason�ble market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. (n.the event that there is � dispute on the <br /> amount of the job cost, the Gity may request the submission of a signed copy of the actual corrtract. <br /> ���I Mlnw"w�'L':11^�' ���7� 1 i .!.�l�.'r'0{���� I fl�� �:�n ..+� , WN hMl <br /> M ,Ix.'�. <br /> p. � ,11 ' <br /> 7he undersigned heceby applies to the City for issuance of a Plumbing Permit, agrees to do all work in <br /> strict accardance with the ordinances of the City and the regulations of the State of Minnesota, 2nd <br /> certifies that all statements made on this application are complete, true and correct. <br /> Applicant's Signature: pa�e' �- 'S r �]° <br /> Building Off'icial!Inspector. Date: <br /> Pe�z <br />