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2-Apr-2618 21:05 From Paul Joseph Schumacher. Phone #6127509278 FaxZero.com p.3 <br /> . <br /> � PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1S 2 � OTHER FIXTURE BSMT 1S 2ND O7HER <br /> TYPE Floor Floor 7YPE Floor Floor <br /> Water Closet � 2 Fioor Drains <br /> l.avatory � 3 Sewer Ejecior <br /> Bathtub ( Laundry Tray � <br /> Shower � Washer � <br /> Kitchen Sink j Water hleafer � <br /> Disposal / Water Softener <br /> Dishwasher � Wet Bar J <br /> Sillcocks �� Miscellaneous <br /> �� <br /> PERMIT FEE CALCULATI�N <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 SURCHARG <br /> ��'G' ��-� <br /> x .0005 $ � —� <br /> (contract price) <br /> 3. POSi'AGE 8 HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMlT FEE {Add Lines 1-3 Above) $ �� � <br /> '` CONTRAC7 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 to <br /> the customer for the work done. If any material, equipment, labor or installations are furnished by the <br /> owner, tenant or any other party, the reasor�able 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 /> PLUMBtNG PERMiT APPUCATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in <br /> strict accordance with the an s of the City and the regulations of tne State of Minnesota, and <br /> certifies that all stateme s this p� ation� complete, true and correct. <br /> Applicant's Signat e� ? � Date: �� <br /> Buildin� O�cial/Inspector: Date: <br /> Page 2 <br />