Laserfiche WebLink
04/15/2014 12:10 FAX 9529335049 CULLIGAN MNTRA lJ007 <br /> I <br /> - , -• . ..• .... ., . _., . ._ ..+C1O4 ,, ..ItfrJ{S . T�D0S;QVgR: 'Udjq: ... . , <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1,25%of contract price with a(Minimum Fee of$50.00) <br /> x.0125$ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) <br /> x .0005 $ <br /> (contract price) (minimum$ 5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ oda , (oO <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar 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 customer for the work done. If any material,equipment, labor or installations are furnished 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 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 /> • **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00—whichever is <br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. <br /> 7 t z ALITE.watar gi 4 "'7 yr•INc niu;+:p g f ri.0 h"� K t. r '411 <br /> 4w,� ar <br /> The undersigned 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, true and <br /> correct. <br /> 64 <br /> g 1 <br /> 0. <br /> Applicant's Signature: -A.Aa7 Date: ti -15- 14 <br /> I <br /> 3 <br />