Laserfiche WebLink
w <br /> PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1sr 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet 1 1 3 Floor Drains 1 <br /> Lavatory i 1 5 Sewer Ejector <br /> Bathtub Z Laundry Tray 1 <br /> Shower 1 2 Washer 1 <br /> Kitchen Sink i Water Heater 1 <br /> Disposal 1 Water Softener <br /> Dishwasher 1 Wet Bar 1 <br /> Silicocks 2 Miscellaneous <br /> PERMIT FEE CALCULATION �� � ' ` <br /> 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> $i�,000 x .0125 $ 212.50 <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> $i�,000 x .0005 $ sso <br /> (contract price) <br /> 3. POSTAGE � HANDLING (Only on Mail-In Applications) $ '.-�-- <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 2zi.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 /> 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 statements ma e on this appli ation are complete, true and correct. <br /> Applicant's Signature: Date: 6/16/zoi6 <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />