Laserfiche WebLink
_ 02/10/2011 :28 FAX 9529335049 CULLIGAN ffiVTRA C�004 <br /> . - <br /> . <br /> . � , <br /> .� <br /> :.��, <br /> � •.�,•� <br /> If above dces not appty;follow guidelines below: <br /> 1. CONTRAG'1'P E *is 1.25%of contract price with a(Minimom Fce o!$50.00) <br /> x.0125$ <br /> (conaect price) (minimum 550.00) <br /> �. ATE SU C ARGE •*Add the Stete Bldg Code Div.Surcherge(Minimom Fee ofSS.00) <br /> � x.0005 $ <br /> (contract price) (minimum S 5.00) <br /> I <br /> 3. POSTAGE&HANDLING(Onty on Mail-In Applications) $ z.00 <br /> I , <br /> � 4. TOTAL PE�P'E�(Add Lines 1-3 Above) S o��•�� <br /> • • CONfRACT PWCE or 10B COST moans the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,profrt,and other fixed costs. it is the amount to be charged <br /> to the customer for the work done. lf any material,equipment, Iabor or installations are fumished by <br /> the owner,tenant or any other party,the roasonable market value of such items must be added to the <br /> . � estimated cost or contract price for permit fee purposes. In the event d�at there is a dispute on the <br /> amount o�the job cos�,tho City may request the submission of a signed copy of the acheal contract. <br /> I ■ *+The S�I'ATE SURCHARGE is.Op05 of tfie contract price under$1,000,000 or 55.00—whichever is <br /> greater. �or valuations over S 1,000,000 call the Building Deparlment at(952)249-4600 for tfie price, <br /> The unders ed here applies to the City for issuance of a Plwnbing Permit, agrees to do all <br /> work in t accord e with the� ordinances of the City and the regulations of the State of <br /> i Minnesota, d certifies that all �tatements made on this applicateon are complete, true and <br /> correct. <br /> Applicant's Signature: Date: �- �� � � ( <br /> � � � i <br /> I <br /> / • <br /> � <br /> � <br /> � <br /> i . . <br /> I <br /> I 3 <br />