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� Se�29 16 08:07a Paul's Plumbing&Heating 507-645-7109 p.2 <br /> , � PLUMBING FIXTURES BE1NG 1NSTaLLED <br /> FIXTURE BSMT . 1 sr 2"� OTHER FIXTURE BSMT 1sT 2"n OTHER <br /> TYFE � Floo� Floor �YPE Floor � Floor � <br /> Watar Cfoset � Ffoor Drains � I <br /> Lavatory � Sewer Ejector ' <br /> Bathtub Laundry 7ray <br /> S�ower j Washer <br /> i(itchen Sfnk � � <br /> Water Heater <br /> Disposal � Water Softener <br /> Dishwasher ! Wet Bar <br /> Sillcocks � Miscellaneous <br /> L P�RMfT FEE CALCUl.ATIUN <br /> 1. CONTRACT PRlCE *is 1.25% of contract price with a (Minimum Fee of$50.Ofl) <br /> � L..:5�,�- � .� C�c� <br /> x A 125 $ <br /> �ontract price) (minimum $50.00} <br /> 2. STATE SURCHARGE <br /> x .0005 $ <br /> � � ��� <br /> (contract price) <br /> 3. POSTAGE 8 HANDLING (Only on Mail-In App(ications) $ _pQ <br /> _.�- <br /> 4. TOTAL PERMIT FEE(Add Lines 1�3 Above} $ � �� • —� <br /> " CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pe�rmitted work fncluding mater;als, labor, profit, and other fxed costs. It is the amou�t to be charged ta <br /> t�e customer for the work done. If any materiaf, equipment, (abor or installatians are furnished by khe <br /> owner, tenant or any other party, the reasonable rnarket value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. in #he event that there is a dispute an the <br /> amount of the job cost, the City may request the submissioe� of a signed copy Qf the actual contract. <br /> PLfJMBING PERMIT APPL(CRT14N RGREEMENT <br /> The undersigned hereby applies to the City for issuance of a PEumbing Perrr�it, agrees to do alf work in <br /> strict accordance with the ordinances of the City and the regutations of the State of Minnesota, and <br /> certifies t#�at all statements made on this applica � n are � lete, true and carrect. <br /> ApplicanYs Signature: � I/ �� Dat • �� vC�J/ ; <br /> , e. , � <br /> Building Official! Inspector: Date: <br /> Page 2 <br />