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01/05/2018 06:11 7632592299 SCHULTIES PLUMBING PAGE 63/11 <br /> t . . <br /> �IXTURE EiSMT �sr 2ND p�-{ER FIXTURE BSMT 9 T 2ND OTHER <br /> TYPE Ffoar Floor TYPE Floor Floo� <br /> Water Closet � � Floor Drains <br /> Lavatory � � Sewer Ejectar <br /> Bathtub � Laundry Tray � <br /> Shower J washer <br /> Kitchen Sink Water Heater � <br /> Disposal � Water Softener <br /> Dishuvasher 1 y1let gar f � <br /> Silfcodcs � Miscellane�us <br /> 1. CONTRACT PRICE *is 1.2596 af cvntr�,ct price with a (Minlmum Fee o#�50.00) <br /> �r��n�' X .0,�5 $ <br /> (contract price) (minimum$50.Ob) <br /> 2. STATE SURCHARG'� <br /> ������ x .0005 $ <br /> (contract price) <br /> 3. POSTAG�&HANDLING(4niy on Mail-In Applications) $ 2.00. <br /> 4. TfJT'AL RERMIT FEE(Add L;nes 1-3 Above) g � b � � � <br /> " CONTRACT PRICE ar J08 COST means the ackual or estima#ed dollar amount oharged for the <br /> permitted wo►ic including materials, labor, profit, and o#her fixed oosts. it is the amount to be charged to <br /> the custome�for the work done. if any material, equipment, labor or instalfations are fumished by the <br /> owner, ten2�nt or any other party, the reasonabie maricet value of such items must be added to the <br /> es�mated cost or contract price for permit fee purposes, In the e�ent that there is a dispute on the <br /> amount of thE job cost, the City may request the submissian of� signed copy of the acEual contract, <br /> The undersigned he�eby applies to the City for issuance�f a Plumbing Perrnit, 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 /> ce�t"�fies that all sta#eme de on this application are complete, true and correct. <br /> Applicant's Signature. p�e; �' ��� <br /> Building Official/Inspector: Date: <br /> Psqe z <br />