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Apr 03 18 03:32p Stewart Plumbing 7634281733 p.3 <br /> no <br /> FIXTURE BSMT 1ST 24D OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet a Floor Drains <br /> Lavatory 3 Sewer Ejector i <br /> Bathtub ! ( Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Silic ocks Miscellaneous <br /> 544 na <br /> . PER I'iArrFEE C kL Tibts# <br /> 1. CONTRACT PRICE " is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 6/r, 0(D5.. x .0125 $ /75 Si <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> °/y 06)...0O3 x.0005 $ 2 L 3 <br /> (contract price) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 44/ V <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profd, 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 APPLICATIMAGREE esiT . <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 ail statements made on this application are complete, true and correct. <br /> Applicant's Signature: c hL(U L. 6L¼))"1 Date: <br /> Building Official/Inspector: Date: <br /> Page 2 <br />