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- PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTNE�Z � <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet I 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 /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATION : <br /> 1. CONTRACT PRICE '' is 1.25% o+f contract price with a (Minimum Fee of$50.00) <br /> �� �I��.. <br /> x .0125 $ <br /> (contract price) (minimum $50.00) £� '�� <br /> 2. STATE SURCHARGE � <br /> x .0005 $ <br /> (contract price) <br /> 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 <br /> �_.,,� � ���-.,. <br /> �.,. �, .: <br /> 4. TOTAL PERMI��(Ad�� bove) 1�� �v .��� �� <br /> � <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 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 /> PLUMBI G PERMIT APPLICATION AGREEMENT <br /> ' t b• , � <br /> The unders�� plie City for issuanc� �t, �'�� work in <br /> it and the re I tio o e �� f 1Vlinnes a, and <br /> strict accorda r �anc f the C y f� <br /> certifies that all t n , �application are corr��� <br /> �,,.�:.�. <br /> 'A plica��S�r . Dat . <br /> ,� <br /> ��M��''► � . � <br /> Building Official/ Inspect . Date. <br /> Page 2 <br />