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�, . :;:.'�"�4�,� 1N�.�"I�TU�t�� 8�1�1�'1��"�"��.�: ,sf, > �:,�.������ M <br /> FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener �-- <br /> Dishwasher Wet Bar <br /> Sillcocks Miscelianeous <br /> " ,�. �,����'��',��� �k�. � �° �_�� <br /> 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> ��� X .0125 $l l� �-`=i ���(-�� <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> G�^ - <br /> _�l_.�� x .0005 $ � Z� <br /> (contract price) <br /> 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ��� � Z `J <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 work done. If any material, equipment, labor or installations are furnished 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 submis�ion of a signed copy of the actual contract. <br /> (�� ' PLUMBING PERMIT APPLICATION AGREEMEhJT" <br /> The undersigned hereby applies to the City for is uan of a Plumbing Permit, agrees to do all work in <br /> strict accordance with the ordinances of the �; a t � regulations of the State of Minnesota, and <br /> certifies that all statements made on this api� r �omplete, true and correct. <br /> � , <br /> y <br /> Applicant's Signature: Date: <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />