Laserfiche WebLink
PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1sr 2No OTHER FIXTURE BSMT 1sr 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet I + Floor Drains <br /> Lavatory ,�( I Sewer�jector <br /> Bathtub � Laundry Tray <br /> Shower � Washer <br /> ;�.�.,� <br /> Kitchen Sink Water Heater Gze� <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATION <br /> 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> .�.S_ <br /> � 5��� x .0125 $ �f� <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> � <br /> �= y `'�' x .0005 $ 3 � �5 <br /> (contract price) <br /> 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 <br /> ��� 5'U <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 to <br /> the customer for the work done. If any material, equipment, labor or installations are fumished 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 actuat contract. <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 regulations of the State of Minnesota, and <br /> certifies that all statements made on this application are complete, true and correct. <br /> Applicant's Signature: u� � Date: � 1 - Z � � l� <br /> �. <br /> Building Official/ Inspector: Date: <br /> Pege 2 <br />