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04/20/2018 FRI 8: 04 FAX 763 473 8565 Sabre Heating & Air Cond U003/006 <br /> PLUMBING FIXTURES BEING INSTALLED <br /> IXIURL I33MT 1' 2'�' ' C7THF'R I=IXTIIRE B M1 1 2rar. ()1"HFR <br /> TYPE I-Iooh Floor TYI F 1-Ioo1- I Icor <br /> Walur Closet 1 Hoer grains <br /> I avalnry rJ f e:wrr Fje lrii <br /> Bathtub Laundry fray 1 <br /> Shower ( Washer <br /> Kitchen Sink , Water Heater <br /> Disposal , Water Softener <br /> Dishwasher Wet Bar <br /> Sillcceks Miscellaneous <br /> WY.v �� � ��� � �'��.��, y� (�� � i�����bf,�;M1 1�r,�' ,L W °�y <br /> `I £�rir�N,b „ �4,r'lii 1 ' �1!late ++?l'�$3 , i�`C"l �a� ...!i1,,Atid- N Illxi'W�r�9 �`�`r'�'"a`?� d°.," ! <br /> 1. CONTRACT PRICE .is 1.25% of contract price with a(Minimum Fee of$50.00) <br /> 31. 34 x.0125 $ .20 5.441 <br /> (contract price) (minimum$50.00) <br /> 2, STATE SURCHARGE <br /> 16 443'1. 1-1 x.0005 ,,7_: a,...� <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) 2_50_- <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2.15. <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 foe 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 /> �•y�� ti•,r� ���� h�¢,a. ����t�.� a!uly. "'VFX � � N Y �iJ SIM{�iP�' i` 7 'a^�a5n �,;� "*t i 1ti� <br /> 'yi(ri"7: �A.�. 22,3 PIIC 'TMallita c" � t ash �. . � �f`7 Vi�:'Jdl.� ,�w �i Ca i'c. 1 <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 Signature: G]/IL .4_' Date: .. 4,211. it,g -_ <br /> Building Official/ Inspector: , Date: <br /> Pag€2 <br />