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2016-10-17 11 :27 Ecowater systems 3202515566 » 9522494616 P 1/1
<br /> 1:-::- 67 't^ / W H $4,(51- 'TM, /
<br /> SPL MB NQ'FIXTUR- SEINQ INS •ALLED
<br /> FIXTUR 8' • T 1`' 24' 0. F'IXTt1iTir—8SMT -71r— 2 OTHER
<br /> TYPE __. Floor Floor TYPE Floor Floor
<br /> Water Ctoset �.,.r._. ,....._.�._,_,..,..„„- ...r,...,_ Floor Drains ,-.,.,,....,...._,.......,
<br /> Lavatory Sewer Elector
<br /> ___...,..,.�.w
<br /> Bathtub -�__ Laundry Tray
<br /> _
<br /> Shower Washer
<br /> Kitchen Sink Water Heater
<br /> ,.
<br /> littpnsal Water Softener _.__�
<br /> _...-. . ._. --------
<br /> w,,,,.._. -_
<br /> Dishwasher Wet r
<br /> Sil s Mtecelisneous _,..w,,�. µ . _
<br /> _.�. R v tFEE �: ULITItN=
<br /> I, CONTRACT PRICE ' is 1.25' of contract price with a(Minimum Fee of$50,00)
<br /> UV x.0125 $ ., QU
<br /> 2, STATE SURCHARGE (contract price) (minimum$50,00)'- _
<br /> ,x.000$ $ Ge)
<br /> (contract puce)
<br /> a, POSTAGE&HANDLING(Only on Mall.tn Applications) $ 2,00
<br /> 4, TOTAL PERMIT PEE(Add Lines 1.3 Above) $_ 3- 4L,, r`
<br /> ” CONTRACT PRICE. or JOS COST means the actual or estimated dollar amount charged for the
<br /> permitted work including materials, labor, profit,and other fixed costs, tt 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 per, the reasonable market value of such llama must be added to the
<br /> estimated cost or contract price for permtt 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 /> .-- ' PL; MB N c P ; Ef %'11it t��At” REI ENT . I
<br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do ail 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 Signeture. Date:, 10 - / - I
<br /> '
<br /> Building Official/Inspector Date, -
<br /> Raa
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