Laserfiche WebLink
. <br /> :,r�' ''�. s�,'. ` <br /> � <br /> FIXTURE BSMT 1 T 2ND OTHER FIXTURE BSMT 1ST 2 OTHER <br /> TYPE Floor Floor IYPE Floor Floor <br /> Water Cbset � Floor Orains <br /> Lavatory ' Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower 1 , Washer <br /> Kitchen Sink 2, Water Heater <br /> Disposal Z Wafier Softener <br /> Dishwasher �. Wet Bar <br /> Silicocks Miscellaneous <br /> .�u�� � <br /> 1. CONTRACT PRICE * is 1.2596 of contract price with a tMinimum Fee of$5►0.00) <br /> � �O " X .o�2s $ �S — <br /> � <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHAR�3E <br /> v <br /> ��o a x .000s � � <br /> (contract price) <br /> 3. POSTAt3E � HANDLINt3 (Only on Mail-In Applications) $ 'T <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> Y� ��CJ <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 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 corrtra�t 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 /> 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 S�te of Minnesota, and <br /> certfies that all statements ma is application are complete, true and correct. <br /> Applicant's Signature: ` � / <br /> / Date: � 2o C <br /> Building Official/Inspecto . Date: ` <br /> r�a a <br />