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. <br /> PLUMBING FIX i URES BEING WSTALLED ' � , . ' <br /> FIXTUP.E BSMT ' 1S' 2"'° OiHEP, FIXTUP,E BSMT 1sr 2No OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet Floor Drains I <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Waier Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> PEP.MIT FEE CALCULATION <br /> 1. CO���,��C i t i;1C� * is 125% of contract price �vith a (i�lon3mum �e� o�?��.OJ) <br /> x .0125 � � � <br /> (contraci price) (minimum �50.00) <br /> 2. SsA7'c j���y,�'n'G= <br /> X .���5 $ � <br /> (contract price) <br /> 3. FOS�AG� ` NA'l�L9N� (Only on Mail-In Applications) $ 2.00 <br /> 5�4. �O�'�;L P�R��]1� F�E (Add Lines 1�3 Abov2) � <br /> � CONTRACT PRICE or J08 COST means ihe 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 ihe work done. If any material, equipment, labor or instaliations are turnished by the <br /> owner, tenant or any other party, the reasonable market value oi 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 o� a signed copy of the actual ecntract. <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 regulat`�s of the State of Minnesota, and <br /> cer�ifies that ail statements made o �s applicatic are complete, true and correct. <br /> )��'�"" � 2 �' <br /> o I �' � <br /> Applicant's Signature: ate� <br /> ,:.. <br /> Building Oificial/ Inspector: Date: <br /> Page 2 <br />