Laserfiche WebLink
Nov. 15. 2017 8:42AM Genz — Ryan o. 1509 P. 5 <br /> PLUMBING FIXTURES BEING:INSTALLED <br /> FIXTURE BSMT 1s'' 2N0 _ OTHER FIXTURE l3SMT 1S7 – 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet I 3 Floor Drains 2- <br /> Lavatory Sewer Ejector <br /> Bathtub L ' Laundry Tray <br /> Shower '- Washer <br /> Kitchen Sink ' Water Heater X <br /> Disposal f Water Softener 1 <br /> Dishwasher I Wet Bar X <br /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATION <br /> 1. CONTRACT PRICE *is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> 2kG x .0125 $ `—1 J � <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> ;)W �.o✓ x .0005 $ <br /> (contract price) <br /> 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2,00 <br /> 4. TOTAL PERMIT PEE (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 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 /> PLUMBING PERMIT APPLICATION AGREEMENT <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 statemen ade on this application are complete, true and correct. <br /> IP <br /> Applicant's Signature: (2-k— Date: 11 I £/ J <br /> Building Official/Inspector: Date: <br /> Page 2 <br />