Laserfiche WebLink
2/16/2016 9 ; 11 AM FROM: 9524914307 T0 : +19522494616 P. 3 <br /> . <br /> • , >: ;:: <br /> < ' >: . > P�.:t��11���E� �I�TI.�R�� ��11�.� li��T'�:.L:�Q ; <br /> FIXTURE BSMT 1s� 2ND OTHER FIXTURE BSMT 1s� 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet 2 1 Floor Drains 1 <br /> Lavatory 3 2 Sewer Ejector <br /> Bathtub 1 1 Laundry Tray 1 <br /> Shower Washer 1 <br /> Kitchen Sink 1 Water Heater 1 <br /> Disposal 1 Water Softener 1 <br /> Dishwasher 1 Wet Bar <br /> Sillcocks 2 Miscellaneous 1 Ra iant H ating <br /> : <br /> ; {����f��;��� �;��.���..����:� <br /> 1. CONTRACT PRICE ' is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> 21,000 x .0125 $ 262.50 <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> 21,000 x .0005 $ 10.50 <br /> (contract price) <br /> 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 275.00 <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 /> P�:GJ11�[�I�i� PER�IIT`,4PP�:i�}�T1C3t�A�R��:f1�[�NT <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 /> .;���;p �f �,:� ���'�'.:s".�''�\ 2/15/2016 <br /> Applicant's Signature: ,,,�"'���,�,��w'.`��'`����� �'�f��,��.�'�'�� • Date: <br /> �'',�p' <br /> Building Official/ Inspector: Date: <br /> Pag e 2 <br />