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� ' ` � ;�:Ui1� N ���T�1RES;:BE � � ��#'� ���W �� �_ ��x�,�r:r <br /> ��, .�,. � 1N�=��15�r�1L�����`� .�� �-�.,.��� e�. <br /> ,� <br /> FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND pTHER <br /> NpE 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 /> Silicocks Miscellaneous <br /> . -�r>; ,� ��._�: �. � , aG�; <br /> , , � � � <br /> ,� � ,:� �r �;: <br /> 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> �,��,(�Q x .0125 $ <br /> � (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> x .0005 $ <br /> (contract price) <br /> 3. POSTAGE � HANDLING (Only on Mail-In Applications) $ 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 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 submission of a signed copy of the actual contract. <br /> . � �. , <br /> ��g � � � ���;� ° ���I�� �..,rc:: � �;�I'TA�?P�:���A71.���, #� .4��I�1����� .������ ���� <br /> ,. � � <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 made on this application are complete, true and correct. <br /> � Date: a /3� � � <br /> Applicant's Signature: -, <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />