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Stewart Plumbing, Inc. 7634281733 p.3 <br /> , � <br /> PLUiVIBiNG FIXTURES BEING INSTAl.IED <br /> FIXTURE BSMT 1sr 2ND OTHER FIXTURE SSMT 1sr 2ND OTHER <br /> TYPE Ftoor FEaor IYPE F�oor Floor <br /> Water Closet �� Floor Drains <br /> Lavatory � � Sewer Ejector <br /> Bathtub �aundry Tray <br /> Shower t Washer <br /> ICrtchen Sink � Water Heater <br /> Dispasal ,� Water Softener <br /> Dishwasher Wet Bar t <br /> Silicocks Miscefianeous <br /> PERMIT FEE CALCULATION <br /> 1, CONTRACT PRICE • is 1.25%of corotract price with a (Minimum Fee of$50.00) <br /> �-'� ����� � �i x .0125 $ � � �jr �� <br /> (contract price) (minimum$50.00) <br /> �. STATE SURCHARGE <br /> �T��:J� �C�x .0005 $ '7� �_�' <br /> (contract price) <br /> 3. POSTAGE 8 HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 1_ 9 <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pe�rnitted work including materials, labor,.profit, and other fuced costs. It is the amount to be charged ta <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 reasvnable market value oF s�ch items rnust 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 actuai contract <br /> PLUM8ING PERMIT APPLICATION AGREEMENT <br /> The unders9gned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in <br /> strict accordance with the ardinances of the City and the regulations af the State of Minnesota, and <br /> certifies that all statements made on this application are complete,true and correct. <br /> t _ �q� / <br /> � �" (.(� <br /> Applicant's Signatiure: �'r,t 1,��' ��U.l,ll.Y�' ( Date: _ ��� � <br /> 6uilding Official!Inspector: Date: <br /> Psge z <br />