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2016-12-28 06:54 Ecowater systems 3202515566 » 9522494616 P 2/2 <br /> faLU BINQ`FiU'EBIlw `iFJT�0.LLEG µ <br /> ,. FIXTURE Fi i rT 1 2 OTHER F7iTURE 1181 IST {?rwER <br /> TYPE Floor Floor TYPE FIAor Floor <br /> Water Closet Floor Drains <br /> Lavatory Sower Elector <br /> Bathtub �r_ .._... Laundry Tray.,,.,......._..-....y..., - ,... . <br /> Shower Washer <br /> Kitchen Sink Water Hueter <br /> iisloaal Water Softener <br /> Dishwasher I Wet Sar <br /> Billhooks Miscellaneous <br /> .__.,,.. q .�... PERM' p _ .;+ > ','TI a N .u..�._... .......,....... <br /> 1, CONTRACT PRICE "is 1.25° of contract price with a(Minimum Fee of$50.00) <br /> iter 4125 $ e- CA) <br /> (contract price) (minimum 550,00) <br /> 2. STATE SURCHARGE <br /> .0005 $ 5 <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mall-In Applications) $ 2,00 <br /> 4. TOTAL PERMIT FEE(Add Linea 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 materiel, 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 eubrnieeion of a signed copy of the actual contract. <br /> PL;. EIN4 P R i. t. CA' .a N AGi`E !VENT.: , _ <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 /> Applicant's Slgnature sate:, I . �!I+ . <br /> Building Official/Inspector: ,. pate; <br /> Papa 2 <br />