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From:Pronto Heating and Air 952+7B7+9y�0 �1/�O/20�6 09:Y4 #412 P.003/003 <br /> , .� <br /> e n r.. .. . '� *� .. � j <br /> � : s - r d ar,"45�,�`���L3�� .: . .i� � ��� .. ...: - �,�'sl �*1�¢ ��z��'��t�'��s��,aa�fiS�� � '�-�'�s� � <br /> . . .� ......:�. .. ,.n, t. a f � <br /> _.�._, k =.�:..,, �i �.�„* <br /> ...•.,_.... . . ... ,s. ..... ... .:...au.,... . . ,,� �s...p r..a.. .:.: <br /> FIXTURE BSMT 1Sr 2ND OThIER FIXTURE BSMT 1sr 2"D OTNER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet Z � Floor Drains i <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 /> � � s.x>,'�5.�� ...� � . ^:�x �i,��r� ... ..�� �'�w ' ��.:.:�� ����ry����e���� }f J,. > R ��' .fi'_ <br /> ' l 3 <br /> � . .,. ..:�i. .. •.' ,i i.t s, f "h <br /> 1. C�NTRACT PRICE '" is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> �%���� x .0125 $ ��'1'� �� <br /> (contract price} (minimum $50.00) <br /> 2. STA7E SURCHARGE <br /> ' $ n � <br /> ��� x .0005 -� <br /> (contract price} <br /> 3. POSTAGE 8 HANDLING (Only on Mail-In Applications) � 2.oa <br /> 4. TQTAL PERMlT FEE (AdcS Lines 1-3 Above} $ ��1 ��.,; <br /> '` CONTRACT PRlCE or JOB COST means the actual or estimated dollar amount charged for the <br /> permi#ted work inctuding 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 cosf or contract price for permit fee purposes. ln the event that there is a dispute on the <br /> amount of the job cost, the Cify may request the submission of a signed copy of the actuaf contract. <br /> < <br /> ` '.� ` : �'�..���3i1�.������1�'�4PPI.�l���'��3�1�1��.R��#�1� �' . _i ., : .,� . ::'f` <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 stafements made on this application are complete, true and correct. <br /> ApplicanYs Signature:_ ��;�t.G ' �f�'V1-�� Date: _���.`�lL� <br /> Building Official/ Inspector: Date: <br /> Paye 2 <br />