Laserfiche WebLink
Stewart Plumbing, Inc. 7634281733 p.3 <br /> � � ' PLUMBING FIXTURES BEING INSTALLED <br /> FiXTURE BSMT �sr 2^'o O7HER FIXTURE BSMT isr ZND OTHER <br /> TYPE Floor Ffoor TYPE F1oor Floor <br /> Water Closet �-? Floor Drains <br /> l.avatory Sewer Ejeclor <br /> Bathtub , Laundry Tray <br /> Shower I Washer <br /> Kitchen Sink � ; Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar ' <br /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATION <br /> 1. CONTRACT PRICE � is 1.25% of contract price with a(Minimum Fee of$50.00) <br /> �� � � �...� X .0,2� $ 1�'� , �5 <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> �i ��(� x.000s � y. �`� <br /> (contract price) <br /> 3. POSTAGE�HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ I f l,'. �� <br /> "' CONTRACT PRICE or JOB COST means ihe actual or estimated dollar amount charged for tiie <br /> permitted work inciuding materials, labor, pr�fit, and other fixed costs. It is the amount to be charged #o <br /> the customer for the work done. If any material, equipment, labor or installations are fumished by the <br /> owner, tenant or any other party, the reasonable market value of such items r�ust 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 /> FLUMBING PERMIT APPLICATION AGREEMENT j <br /> The undersigned hereby applies to the City far issuance of a Plumbing Perm9t, agrees to do all work in <br /> strict accordance with the ordinances of the City a�d the regulations of the State of Minnesota, and <br /> certifies that atl statements made on this application are complete, true and correct. <br /> Applicant's Signature' � Date: o(—I v�f � <br /> � <br /> Building O�ciaU Inspector. Date: <br /> Page 2 <br />