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From:Pronto Heating and Air 952+767+91�0 �O/24/2076 06:b1 #363 P.003/003 <br /> � . <br /> PLUMBING FIXTURES �EING iNSTALLED . <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1S� 2"D OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Baihtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater �/ <br /> Disp�sai Water Softener <br /> Dishwasher Wet Bar <br /> Silicocks Miscellaneous <br /> ' PERMIT'FEE CALCULATION <br /> 9. CONTRACT PRICE �` is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> ��� , C�� x .0125 $ � Z J <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> � Q�� � � x .d005 $_. �)r Z� <br /> (contract price) <br /> 3. ROSTAGE � HANDLING (Only on Mail-in Applications) $ 2.00 <br /> 4. TQTAL PERMIT FEE (Add Lines 1-3 Above) $ � , �� <br /> ` COIVTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materiafs, labor, profit, and other fixed costs. It is the amount to be charged to <br /> the customer for the work done. If any materiai, 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 AGR�EMENT <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 a!! statements made on this application are complete, true and correct. <br /> Appiicant's Signature: Date: �L�-��L/-� �D <br /> Building OfFicial/ Inspector. Date: <br /> Page 2 <br />