Laserfiche WebLink
� `P�U�fl�B11VG F�XTUR�S;�F1N�C�:;INSTALLED��:�,��` �"�. Y W�.m ���%�-�.` ' <br /> �' `�:;�� ������ �� ,� ;�'�� � <br /> ��r �E.'���+-'W ,A•.1'S•l�.„s�.�.,rr:.'": �.�'�✓�.1� r,�nw <br /> FIXTURE BSMT 1sT 2ND OTHER FI�PE E BSMT Floor Floor OTHER <br /> TypE Fioor Floor <br /> Water Closet � Fioor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub i Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> �; ..__ � F:v;; - �t: "- :r��'��k"-' <br /> ., <br /> q�-�: � � ��.� ..:, -�.. . �: � � _�_ <br /> '. � <br /> �� � �� . � - <br /> _ , . : r�,. ; <br /> , � :. . . <br /> * ��, _. � _ .� • . _ . , .. . <br /> Mti <br /> 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> 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 /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> r <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 /> � &, � ,�.� � ..�` � `i?�..��'�1+���:,P�RM1.�'.q��?L.��►� a �"~�R_ � 'r��- `` � `��,���" :��.�: <br /> ,�� � t���. ��� �� ==� :�` ,. <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 o ' tion are complete, true and correct. <br /> ;j� .,__._—� <br /> -' Date: I—a D- ` <br /> Applicant's Signature: ____�.___.. <br /> Building O�cial/ Inspector: Date: <br /> Page 2 <br />