Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
X t <br /> � , � <br /> PLUMBING FIXTURES BEIIVG 1NSTALLED <br /> F(XTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER <br /> TYPE Floor Floor TYPE Fioor Floor <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater f <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Silicocks Miscellaneous <br /> PERMiT FEE CALCUI..ATION <br /> 1. CONTRACT PRICE '' is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> ..����-�1�� x .0125 $ ��� `'�� <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> •���� �� x .0005 $ � ��� <br /> (contract price) <br /> 3. POSTAGE 8� HANDLING (Only on Mail-In Applications} $ 2.00 <br /> � � � � <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 amaunt 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 /> PLUMBING PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in <br /> strict accordance witt� the ordinances f t1�,�6jity and the regulations of the State of Minnesota, and <br /> certifies that all statemen '�'!�g. ppl�tion are complete, true and correct. <br /> � w.. Date: � ��' � � '" ��' <br /> ApplicanYs Signature: <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />