Laserfiche WebLink
c <br /> . .._ _ . .. ......_._ ._._ <br /> .__.._._.._-------._.. <br /> PLUMBING FIXTURES BEING INSTALLED ' <br /> �-- _ _----- - - ___.__ . _ <br /> r-- _....__ ,__ _..,._ �__ _—. _.— ----------•-^._.._ _ . <br /> � FIXTURE , BS�v1T 1S` ! 2 ' � OTHER FIXTURE BSMI 15T 1 2'�� � OTHER � <br /> TYPE � Floor � F(oor ' �� TYPE Fl�or I F loor ; <br /> �; --- ,- � ._ .__ <br /> ;___. , _--- ___ . _;—_._.__..._ <br /> , , _--- <br /> � Watc;r Cl�set � � FIoUr Drains 'I <br /> � _ __�a__.� . - -� +� ,___ � ' � <br /> � � _ --- �._ !—_ __ __�._... <br /> — _- +— <br /> � r __.. _ <br /> } . .._.___ <br /> L�ivatory ; i � � i Sewer E�ector � j � I <br /> � _ � ._' __—_ ____ ` <br /> r ____ _ _ ___ _ 1 <br /> -r-:1 _ <br /> B�thtub � Laundry Tray � f � i <br /> � _ .._-__ .—_ _ __ ----�.____ . _ � <br /> ____ ,_ ___ _ � <br /> � S�cGver ,/ � � I W�sher � � - - <br /> G -- � r --.1� � -1 _.. � I <br /> � �_— � — - -- i------...—._ ___ - ---— � <br /> ; Dis�osal ._-_' i / i � ; Water Heater i �__._._..�---_ _.____--.._ .� <br /> K+tchen Sink <br /> .! _r _ — -- _ — -� <br /> ► � �� / � � Water Softener f � <br /> r--__ _ _ a --- _� ' _ <br /> - __.. <br /> t� � � � -- -}--- —----- <br /> --t , <br /> Dishwasl�er � > > _� �_ � <br /> � � � � t V4et Bar �; 1 � � � <br /> : ----.._ --..—i___-----?--.., „. t_ . _ ' __ .. .__--•-------- - -_... .. ` _.__j_.. <br /> I <br /> r.� �1.� <br /> , �� � _ ._... ... <br /> i Silicocks � � � ! Misc�llaneous � � �� <br /> , � <br /> __ ___._.._ �:_... . <br /> _ ... .. . ..____. ...__... ... _.____L ..—.._... <br /> _ .__._.._ �._. <br /> ... .._. ._.._...._ __ ..____.__,_.� <br /> .— ....___.._--_' . .._... <br /> . _._.. .....__—�._.__.—__' <br /> .._. .___.__...___.__.__.___ __...___._.__._�__._. <br /> _._____..__i <br /> ERMIT FEE CALCULATIQN � <br /> _____. __ _--- _�_ � <br /> 1 CONTRACT PRICE ' is 1.25% of contract price with a (Minimum Fee of $50.00) <br /> ��� � �.�✓C� x .0125 5 <br /> (contract price) (�ninimum S50.0�) <br /> 2. STATE SURCHARGE <br /> x .0005 $ <br /> (contract price) � <br /> 3. POSTAGE & HANDLING (Qnly on Mail-In Applications) S __ 2,�p <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> ' CON7Kl1CT PRICE or JOE3 CC?S T means the actual or estimated dollar amount charged f�r the <br /> pc�rmitted work including materials: labor, profit, and other fixed costs. It is the amount to be charyPd to <br /> ttie; custvn�er fvr the w�rk done. If any material, equipment, labor or instali<�tions are furnished by lf�e <br /> � o�vner, ten�nt or �ny other party, the r�asonable market value of such items m��st be added to the <br /> estii7�ated cost or contract price far permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the Cily may request tlie submission of a sigried copy of the actuai contract. <br /> ��__--- - — . ____._ . ____ ._ --- -. <br /> _—.._. <br /> PLUMBING PERMIT APPLICATION AGREEMENT <br /> -1-he unciersigned hereby applies to the City for issuance of a Piumbing Penr�it, agr�es to do all �vork in <br /> strict accordance with the ordinances of the City and the regulatians of the State of t�1innesota, and <br /> certifies tt�at all statements made on t is application are complete, true and correct. <br /> r��c,--�- . <br /> l�pplicant's Signature: �'�. Late: �` � �� <br /> . <br /> E3uilding O(ticiall Inspector: ___ Dr�te: <br /> F�ago 2 <br />