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FROM :Rmerican Mechanical FRX N0. :763 477 4085 Oct. 18 2016 02: 13PM P2 <br /> �- . <br /> �{�} {��,r �( qq D <br /> � ��x�n�7 p,�k C��.� + ,�'41��1T����5�� ' - �� � .�Y'��Ir �+n4C�`�C(�„'I"��.. • <br /> '�'T <br /> .... ... . . ._......__ <br /> FIXTURE BSMT� � 1`T 2"0 -j OTHE� FIXTURE BSMT �sr 2ND OTHER <br /> � T1:PE E Flaoc � Ftoor I, ! �YPE �Foar � Flaar I� <br /> , � <br /> � <br /> Water Cfoset �— Floor Drains � <br /> Lavatory � Sewer Ejector <br /> Bathtub " � � � Laundry Tray <br /> �hc�N+er ��ash�r � <br /> Kitchen Sink � � Water Heater <br /> DiSposal � Water Sflftener <br /> pishwash�� Wet Bar r <br /> Sillcocks � � t Miscell�neous �. <br /> �1� � Y d �c �a i .: � l�` f -�1 N .� �.§ a" .., c <br /> 1�'«�,wr��" �7� Y^^^1z�i�A,h�.1P!,�,ry 1 �.�-*.�,L:��}'��f..•:���- _ �' "'�?!`ry'��U��'4��{C n�u�w���.. <br /> e:�� <br /> 1. CONTRACT �RICE � is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> � x.0125 $ ,.,1�� <br /> ���� • contr�ct �ic� � tr�irrirn�rm$5ti;(3fl <br /> � � � t � <br /> 2. STATE SURGWARGE <br /> . � <br /> x .0005 $ <br /> (c n#ract price} <br /> 3. POSTAGE 8� HANbLING (Only on Mail-In Applications) $ 2.OQ .. <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 /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged tn <br /> the customer for the work done. If any matenal, 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 /> �s�i�rn�t�d +cr�st�r�r ccmtr��t �ri�ee fc�r �errni1 f�e ptarpc��es. #n tt��r�t that #f�r� �s .a dtis� xm t#�e <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> „s> �',�"' ` , �� ri� .. �0.' ... _ je <br /> e , h� �e � }. �" 'r� � _«:r . ' ' • � <br /> The undersigned hereby applies to #he 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 o# the State of Minnesota, and <br /> certifies that all statement d pl+catian ar complete, true and correct. <br /> t �V • � <br /> ApplicanYs Signature: Date: <br /> Suilding Official/lnspector: Date: <br /> �P�e Z <br />