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FIXTURE BSMT 1ST 2''� OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Fioor <br /> Water Closet � Floor Drains <br /> Lavatory �/ Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washe� <br /> Kitchen Sink Water Heater <br /> Disposai Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> K {�'�F�..Y��.•y_g�,.t'.: �,�k _ i h y ,' _ <br /> j^�thA�7'p",�.i`� � �,��,,,. <br /> 1. CONTRACT PRICE " is 1.25%of c�ontract price with a (Minimum Fee of a50.00) <br /> ��,CD� �o X .o�2s $ <br /> -'�(contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> x .0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING (Only on Mail-In Appliqtions) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � <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 to <br /> the customer for the worlc 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 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 /> ��t'`, � k R `v: <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 ordinances of the City and the regulations of the State of Minnesota, and <br /> certifies that all statements ma on this application a e complete, true and correct. <br /> --* <br /> ApplicanYs Signature: Date: 1� /� i ? <br /> Building OfficiaU Inspector: Date: <br /> Page 2 <br /> I <br />