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Stewart Plumbing, Inc. 7634281733 p.3 <br /> . <br /> . PLUMBING F4XTURES BEING iNSTALLED <br /> FIXTURE ' BS1V1T 1sr 2ND OTHER FtXTURE ! SS�T F�oor �� Floor OTHER <br /> lNp� �Floor Fl��or TYPE <br /> l <br /> Water Closet I 3 � � �loor Drains � <br /> Lavatory � ✓� Sewer Ejector ' <br /> Bathtub � Laundry Tray 1 <br /> Shower j � a`�i� Washer � <br /> Kitchen Sink l ! Water Heater � <br /> Water Sof�ener <br /> Disposat ` - <br /> Dishwasher � � Wet Bar I <br /> � <br /> '� 5illcocks � Miscellaneous J <br /> � <br /> �'ERMiT FEE CALCULATIC�f� � <br /> 1. CONTRACT PRLCE * is 125°10 of contract price with a (Minimum �ee of$50;00) <br /> � �� ��� . o e x .0125 � � � c�. � <br /> (contract price) (minimum $50.40} <br /> 2. STATE SURCHARGE <br /> ��� �, �� o, �� x .0005 $_ ��, y � <br /> (contract price) <br /> 3. POSTAGE � HANDLING (Only on Mai�-In Applications) � 2•a� ��� <br /> � 1 ' � <br /> � �� ✓,. <br /> 4. T�TAL PERMIT �EE (Acid Lines 1-3 Above) � _ <br /> � CONTRACT PRICE or JOB COS7 means the actual or estimated dallar amou�t charged for the <br /> permitted �vork including materials, labor, prafit, 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 ather party, khe reasonable market value af such items must be added to the <br /> arrtount of t�e job costathePCity may�r quest the s�ubmission tof a s gned copy of the acltualtcontract <br /> PLUMBING PERMIT APPL1CATl�N AGREEMENT � <br /> The un�ersigned hereby applies to the City for issuance of a Plumbing Permit, agrees fo do all work in <br /> strEct accardance with the ordinances af 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� � � �+- % �' Date: (� ! �—l �('� <br /> Buildir�g Officiall lnspector: oate: <br /> Page 2 <br />