|
02/11/2013 14:01 FA% 9529335049 CULLIGAN MNTRA f�004
<br /> � a • r �. '•�p �.�sy�* • j n.�'�f.•f,r,i•..•��tl:.
<br /> t �.a���*x:�u.'�;�' -,' r �'�'b,. ��,��.* .r��,�,.t
<br /> x.�:�
<br /> If above does not epply;follow guidelines below:
<br /> �1. CONTRACT PRICE *is 1.25%of contract prico with a(Minimum Feo of SS0.00)
<br /> X.oizs a
<br /> (wnuact pnco) (minimum 550.00)
<br /> ! . STATE SIIRCHARGE **Add the State Bldg Code Div.Surcharge(Minimam Fee of 55.00)
<br /> x.0005 $
<br /> (contrect price) (minimum S 5.00)
<br /> 3. PQSTAGE&HANDLING(Only on Mail-ln Applications) $ 2.00
<br /> I
<br /> 4. TOTAL PERMIT tTEE(Add Lines 1-3 Above) S o�a,O� .
<br /> n., i. , �7�� ,. .� ,�,? r ���� rr _._ - - ._ _..... i('^�/.
<br /> - • *'�'�0�1'i'�iAC7"�RICE or IOB COST mearis'��tie act�ial�'or estimated dollar amount charged for the
<br /> permitted worlc including materials,labor,profit,and other fixed costs. lt is the amount to be charged
<br /> to the customer for the work done. If any matarial, equipment, laboc 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 fcx purposes. In the event that thero is a dispute on the
<br /> amouni of the job cost, the City may request the..submission of a signed copy of the,actual contract.
<br /> ■ M*The STATE SURCHARGE is.0005 ofthe contract price under S1,000,000 ot$5.00—whichever is
<br /> greater. For valuations over$1,000,00U call the Building Department at(952)249-4600 for the price.
<br /> The undersignad 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, tn,�e and
<br /> correct. --
<br /> Applicant's Signature: Date: �- ( (' �3
<br /> . . ., �
<br /> , _ ;
<br /> ��� . � ,.. ir.Y i, , , , ��
<br /> • � ,
<br /> � . . ,. .
<br /> I
<br /> I � ,, . . . ,, L�� .
<br /> � � .�, � � . i . . if_' . .
<br /> . . I� . . . , � � '
<br /> . a. �' ,�lc,- . � � „ , t, r{
<br /> I
<br /> .. . a . , : . . . .4�.. . . . .._ ._
<br />
|