2016-01453 - plumbing - Laserfiche WebLink

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F,�20M ,:�nerican Mechanical FAX N0. :763 477 4085 No�. 21 2016 08:24AM P3 , . . ,� � : . ... •. , . . •: . , • � �, �� ` - � ... . . ,.:.�. 'P;5 ...,�'e�;.;�R . .,. r c _� . . • . ..... ., .w .w: . . . FIXTURE BSMT 1gT 2ND OTHER FIXTURE BSMT 1�T 2H° OTHER i'1�PE } Ffoor Ftver I N� I f Ffoor Ftoor ; Water CEoset Floor Drains Lavatory Sewer Ejectnr Bathfub 2 Laundry 7ray s�cawer f w�ast�er � / Kitchen Sink Water Heater Disposa{ ! Water Softerter DiShwasher Wet Bar Silicacks , Miscellanecws ,�, �t � 1. CONTRACT PRICE * is 1.25°r6 of contraot price with a(Mi�imum Fee of$50.00) -�� ,,..x.0125 � � � . .��traot�.t�,�e.3 k'��50.�00,) . 2. STA'1`E SUitCHARCE ��/l� x .0005 $ � (con�act Qnce) 3. POSTAGE&WANDLING (�nty on Mail-In Applications) $ 2.00 � 4. TOTAI. PERMIT FEE(Add Lines 1-3 Above) � � , * CONTRACT PRtC� ar JOB C�ST means the actual or estimated doElar amount charged for the permitted work including materials, labor, profit, and other fixed oosts. It is the amount to be charged #o the customer for the work done. If any material, equipment, iabor o� instaElations are fumished by the owner, tenant vr any other party, the reasonable market value �rf such iiems must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the ar+q�x�t r�f�e fob�st.�t,he �ily r�nay��t�s# ��t�issiori��f�•si�raed��r��of�e sc�wsxl�r,rrtrac#- r n:.: ��n 1 The undersigned hereby applies to the Ciry for issuance of a Plumbing Permit, �grees to do all work in strict accordance wi#h the nan the City and the regulations of the State of Minnesota, and cerkifies that all stateme d th' ppl":catian are complete,true and correct. Applicant's Signatur . Oate� �/��/� Building Offici�l/ Inspector: Date: �z