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. , � <br /> FIXTURE BSMT �sT 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> �'PE Floor Floor TYPE Floor Floor <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Silicocks Miscellaneous <br /> .�_. � <br /> 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> �� �1Z �/� <br /> - x .0125 $ �/v- � 0 <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> __ Co o� � � X .0005 � 3 b <br /> (contract price) <br />' 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2.00 <br /> �0 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 5�j <br /> " CONTRACT PRICE or JOB COST means the actual or estimated dolfar 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 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 /> { <br /> ��; � ,� _>:��:P . �, <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 statem ts made on this application e complete, true and correct. <br /> � c <br /> Applicant's Signature: Date: V � <br /> _� <br /> Building Official/ Insp ctor: Date: C� <br /> Page 2 <br />