Laserfiche WebLink
• A <br /> .��.: <br /> FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 211D OTHER <br /> TYPE Floor Floor TYPE Floor FI or <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater 1 <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$90.00) <br /> l�.Q�Z x .0125 $ - _LV•�1�� JV• vV <br /> (contract price) (minir�um $50.00) <br /> 2. STATE SURCHARGE <br /> t� ��, X .000s � , g� <br /> (contract price) <br /> 3. POSTAGE � HANDLING (Only on Mail-In Applications) $ �2.00 <br /> i <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �2•�3 <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amou,r�t 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 /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agr�ees to do all work in <br /> strict acoordance with the ordinances of the City and the regulations of the Statie of Minnesota, and <br /> certifies that all statements made on this application are complete, true and correct. <br /> Applican�'s Signature: __ �(. Date: �;Q'�l�l� <br /> Building;Official/ Inspector: Date: <br /> Page 2 <br />