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04/11/2018 WED 14: 43 FAX 763 473 8565 Sabre Heating & Air Cond UO 03/006 <br /> i_.-_ ._..._.. . _.. ...............`-.- _---- 'Phi:1MBINQ Fi l Rl S EkEIN1NSTALLO <br /> FIXTURE 13SMT 1"' 2N1' OTHER FIXTURE l3SM1 151 2N') OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Wafer Close( 1 '2— Floor Drains <br /> I..avainry1 (4 Sewer Ejector <br /> Bathtub 2 Laundry Tray 1 <br /> Shower ' — Washer r <br /> Kitchen Sink 1 Water Heater I <br /> Disposal 1 Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks 2- Miscellaneous 7/(J� <br /> �r 4 Y �'"�1'N ��i N L 'F-77;'1PITT'''. Ir I•i'i� 1 Y • �n1. l� y� 1 / V.Y <br /> f:V ^ '1'' .`"1V16�"'� A +� p��t.3J. ��,r7�5 I I, Fi 7Al`i ; ., • l v �'"C'+ 1.r,�7r "R1iY0dN. 'i.ff' ' <br /> .��. F i !i:?,1.11,0:e0.: „' Jtl .Hill'L LL i'!.4A„,,,,,,„„t Ari, A _ ,. .. ! .}'.. o-,t, .,4,1 r <br /> 1. CONTRACT PRICE * is 1:25% of contract price with a (Minimum Fee of$50.00) <br /> 4 Ute l,,no ._..x .0125 $ 20 8'•z.c <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> I 11l, i.-00 x.0005 $ '''33 <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2-I X•55 <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 /> _ li,x 2 7 <br /> _1 q Y 4` . rt 1Gi lm �� igQaril #,rMif f Frw <br /> ,e a ��y :r1,,, MFIE <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 /> Applicants Signature: tl4t4q' Date: 14' fl' 2-0/$ <br /> Building Official/Inspector: Date: <br /> Page 2 <br />