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08-02-16; 13:47 ; 9522494616 ;7632950654 # 3/ 4 <br /> , • {A�,, �, <br /> .W. .• �• `_ u.aRMN w.�Jw-�. <br /> FIXTURE �SMT 1 2"D OTHER FIXTURE BSMT 13 2N° OTI-9�R <br /> TYP� Floor Floor TYPE Floo� Floor <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejectar <br /> Bathtub Laundry Tray <br /> Sh�wer Washer <br /> Kifichan Sink Water Meater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> SIIICOCks Miscelianeous <br /> . ��;� , ,;., Gr �` �� ;�r� ; <br /> �� 11��".• h� ;.'P.,. <br /> 1. CON7RACY PRICE * is 125%of contract price with a (Mlnimum Fee of$50.00) � <br /> J�[�l�_ . x.0125 $ X.-� y <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> �,�Q..l"//J x .0005 $ � � � ------ <br /> (contract price) <br /> 3. Pb57AGE$ HANDLING (Only an Mail-In Applications) $ 2.00 <br /> 4. TQTAL PERMIT�'EE (Ad� Lines 1-3 Abov�} $.__________�� } �� <br /> " GONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permil#ed work including materials, labor, profit, and other fixed costs. It is the ampunt ta be charged to <br /> the cus#omer for the worlc done. lf any material, equipmen#, labor or installations are fumished by the <br /> owner, tenant or any other party, the reasonabfe market value of such items must be added to the <br /> estimated cost or contract prlce for permlt 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 /> ..., y rt <br /> , �.a '�'` L.���'tl - '' <br /> .. .,..._ �.i: „ . , � '„� � , . <br /> 7he undersigned hereby applies to the City for issuance of a Plumbing Permit, agreas to do all work in <br /> striCt aCCOrdanCe with the ordinances of th Clty and the regulations of the State pf Minnesot�, and <br /> eertifies that all statem�nt ade on#hi i tion are cornplete, true and correcf. <br /> Applicant's Sign • -�— Date: � 1�________ <br /> Buflding Official/Inspector:_-_----------------------------------------------------------- Date: <br /> P�9B� <br />