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, , 0�13/2016 19:59 FAX 7634271647 JOESPLUMBINGINCAO f�006/010 <br /> FIXTURE BSM7 �sT ZND OTHER I FIXTURE BSMT 1sr 2"� OTHER <br /> TYPE ! Flpor Floor i TYPE Floor Flaor <br /> Water Closet �I I Floor Drains <br /> Lavatory � Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink , � Water Heafer <br /> Disposal � Water Softener <br /> Dishwasher Wet Bar <br /> Silicocks Mis�ellaneous <br /> . , _, ^, , �, <br /> o I.� � ��Ir �,:rt H 1 �� r�� • a� <br /> , `'�i; '� fR�;F� ���i�i�'� ��rhl. <br /> 1. CQNTRACT PRICE "' 1s 1.25% of contract price with a �Mlnlmum Fee bf$50.00) <br /> _ :�'�j� x A125 $�� ^— <br /> (contract priCe) (minimum $50.00} <br /> 2. S7'ATE SURCHARGE <br /> �:�.J x .0005 $ <br /> (contract price) <br /> 3. POSTAGE & HANDLING (Qnly on Mail-In Applic�tions) $ 2.00 <br /> 4, TOTAL PERMIT FEE (Add Lines 1�3 Above) $ <br /> "" CQNTRACT PF�ICE 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, equipmer,t, labor or installatians are furnished by the <br /> owner, tenant or any other party, the reascnable rnarket value of such items must be added to the <br /> estimated cost or c�ntract price for permit fee purposes. In the event that there is a dispute an the <br /> amount of the job cast, the City may request the submission of a signed copy of the actual contract. <br /> , -Y ; <br /> o � � �. �� .��'� <br /> The undersigned hereby �pplies to the City for issuance of a Plumbing Permit, �grees to do all work ir1 <br /> strict accordance with the ordinances of the Gity and the regul�tions of the State of Minnesota, and <br /> certifies that all st�tements made on this �pplication are complete, true and correct. <br /> Applicant's Signatur : Date: ��12-�1�, <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />