Laserfiche WebLink
11/18/2010 10:24 FAX 9529335049 CULLIGAN ffiNTRA f�004 <br /> l . .. <br /> , � `�d�� '.M"�"�;'i�� <br /> ,,• <br /> If abovc dces not apply;foUow guidelines below: <br /> l. �ONTRACT PRICE *is 1.25%of contract price with a(Minimum �ce of 550.00) <br /> x.O125 S <br /> (contract price) ( 'nimum$50.00) <br /> 2. STATE SURCHARGE *"Add the State Bldg Code Div,Surcharge(Mini um Fee ot SS.00) <br /> x.0005 $ <br /> (contractprice) (minimu S S.OQ) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Apptications) $ 2.0 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S o�a-0(� <br /> ■ * CONTRAGT PRtCE or JOB COST means the actual or ostimated d�llar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customor for Ure work done. if any material,equipment, labor or installations are furnished by <br /> the own�r,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 pwposes. in the event that there is a dispute on the <br /> amount of the job cost,the City may request the submission of a signed copy of the actual contract. <br /> � *"'The STA7'E SURCHARGE is.0005 of the contract price under$I,000,000 or�5.00—whichever is <br /> greater. For valuations over S 1,000,000 call the Suilding Departrnent at(952)249-4600 for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in striet 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, bve and <br /> correct. <br /> Applicant's Signature: Date: �1� �Q ' �(, <br /> 3 <br />