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,. <br /> 07/18/201B 08:57 FA% 9529335049 CULLIGAN MNTKA f�00� <br /> ; � , r... <br /> `��,Y��,��:C�_�. � �1����� ��q9 ,� 1�;���I,11��-y�1 ;,��{.[ ,���. 'ry^ ��1y{-�,G � a,,,��,;_��J :�: ww yry��,. ��L�µii���ir,�I,W�I�;�;: <br /> 6 di TG "y ���q1�InAn�a�'"ii���.l:C:.���ilp N�� '���`���T.3i.i,'�il.\��r�i'Y���ti/+��;Pµ\i�l �� i`�L`I::�a��:Y�/�.������,N° iNIrMAw�i�ui�.�iw'"�WI�YM1M1A <br /> Fe.7����C�.� .Mw,:r.er <br /> FIX7URE BSMT 15T 2ND 4TyER FIXTURE 65M'T 15T 2ND OTHER <br /> TYPE Floor Ffoar TYPE Floor �loor <br /> Water Closet Floor Drains <br /> �avatory Sewer Ejector <br /> Bathtub Laundry 7ray <br /> Shower Washet <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> pishwasher Wet Bar <br /> Silicocks Miscellaneous <br /> P�,,,� w��.�,��.���a��. a� ��'' ��, �� <br /> �� �'�w'��"�lm'.. �^ aM 2��'1�."'EWI� +���.�.„iRL�7� i •`' n � ni���.. ?"�� e�'I'� ��.L... �� ,rv <br /> 7. CONTRACT PRtCE '' is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> X.01 Z5 $ <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAG� � HANDLING (Only on Mail-ln Applications) $ 2.00 <br /> 4. TOTAL P�RMIT FEE (Add Lines 1-3 Above) � .�o�� � <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including rnateriais, labor, profit, and other fixed costs. !t is the amount to b�cF�arged to <br /> the customer for the work done. lf any material, equipment, labor or installatians are fumished by the <br /> 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 request the submission of a signed copy of the actual contract <br /> �,'sg�Y'�.Pah��iR'vR�".'�.. . ` ak. ,.1.�1�'�S'W=."' ' ��'�'�� 'x,.���"!iE'`.�,.���+u" 4X,�:#�,GY+;l.l^�I"�^�+,,,��' I 'A '�.����II.�w� w �. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in <br /> strict accordance with tlie ordinancEs of the City and the regulations of the State of Minnesota, and <br /> certifies that all statements made on this application are complete, true and correct. <br /> Applic�nt's Signature: Date: � � ���11., <br /> Building Of�icial/Inspector: pate: <br /> Page z <br />