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Apr. 5. 2016 9: 08AM Genz — Ryan No, 0446 P. 2 <br /> M <br /> )? UM�ING<FIXTURES:131�1G'IN;STALLED <br /> FIXTURE BSMT IST 2ND OTHER FIXTURE BSMT 18T 2ND OTHER <br /> TYPE Floor Floor TYPE 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 /> Sillcocks Misce=s <br /> w �x <br /> ± PERM11FEE:CAL'C-Ul <br /> 1. CONTRACT PRICE " ib <br /> s1.25%hofcontract price with a(Minimum Fee of$50.00) <br /> (1 (PSL X.0125 $ 33' 1) U <br /> (contract price) (minimum$50.00) <br /> 2- STATIE SURCHARGE <br /> x,0005 $ + <br /> tcontract price) <br /> 3. POSTAGE&HANDLING (Only on Mail-in Applications) $ fib» <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 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 patty, 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 /> PLUMB�(�IG'f F MFT;APPLICATION A'CtkEEMENT:.', <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 m de on this a licatio m late, true and correct. <br /> Applicant's Signature, ` Date, <br /> Building Official/Inspector: Date; <br /> Page 2 <br />