Laserfiche WebLink
Stewart Plumbing, Inc. 7634281733 p.3 <br /> �� , <br /> � <br /> ' . . <br /> � PLUMBING FIXTURES BElNG INSTALLED <br /> FIXTURE SSMT ! 1ST 2N0 OTHER FIXTURE BSMT 1sT 2"❑ OTHER <br /> TYPE Ftoor Floor TYRE 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 /> PER[VIIT FEE CALCULATfON <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a (Minimum Fee of;50.00) <br /> � /�� :5c�0, C�c� X .o�2s � �y3.75 <br /> (contract price) �minimum$50.00) <br /> 2. STATE SURCHARGE <br /> �/1151�. c� U x .000s � �- 75 <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) $ <br /> �/y �I '�� <br /> • CONTRACT PRICE or JOB COST means the actual or estimated doliar amount charged far fhe <br /> permitted work induding materials, labor, profit, and other�ixed costs. It is the amount to be charged to <br /> the customer for the wo�lc dorte. If any materiai, equipment, labvr or installations are furnished by the <br /> owner, tenant or any othe� pa�-ty, the reasonable market value of such items must be added to the <br /> estimated oost or contracE price for permit fee purposes. In the event that there is a dispute vn the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> PLUMBING PERMIT APPLICATI�N AGREEMENT <br /> The undersigned ttereby applies to the City for issuance of a Plumbing Permit, agr�ees to do aEl work in <br /> strict accordance with it�e ordinances of the City and the regulations of the State of Minnesota, and <br /> certifles that at�state�nents made on this application are complete, true and correct. <br /> �. ' / � 7 <br /> Appficant's Sigr�ature: ��l��c.c���- ��� Date: � �0 I <br /> Building Official/lnspector: Date: <br /> Page 2 <br />