Laserfiche WebLink
04/23/2014 11:57 FAX 9529335049 CULLIGAN �NTRA C�004 <br /> . <br /> � <br /> ;;xy ,;:, �� ._;.: :,..:r ;�... <br /> :�: s.: <br /> :,�. -��v �J� �Q�x;�:o�-: - <br /> .�;;: �14�: ��:C�"�.... �:�;': �� <br /> If above does not apply;follow gvidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract pricc with a(Minimum Fee of$50.00) <br /> x,0125$ <br /> (contract prico) (minimum 550.00) <br /> 2. S'FA1'E SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of s5.00) <br /> x.0005 $ <br /> (wntract price) (minimum S 5.00) <br /> 3. POSTAGE&HANDLING(Oniy on Mail-In Applications) �._ __ 2 00 <br /> 4. TOTAL PERMIT FEE{Add Lines 1-3 Above) S .� <br /> ■ * CONTRACT PWCE 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 fumished by <br /> the owner,tenant or any other party,the reasonable mazket value of such items must be added to the <br /> estimated cost or contract price for petmit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost,the City may requast 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 vaivations over$1,000,000 call the Building Departrnent at(952)249-4600 for the price, <br /> ;• h '. ,•. q, j 'ti 'y..y, ,:�i <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 /> ApplicanYs Signature: Date: �` �3- j� <br /> ���.._�,,,,a.',+" .ay.;,�ti <br /> � <br /> 3 <br /> j <br /> i <br />