Laserfiche WebLink
Aug 301610:43a Water poctors 7635351805 p.2 <br /> " PLUMBfNG FIXTURES BEING I�ISTALLED � � <br /> FfXTURE SSMT 1Ss LND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Wafer Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower I Washer <br /> Kitchen Sirtk � Water Heater <br /> Disposal , WaterSoftener <br /> Dishwasher Wet Bar <br /> Sillcocks Misceilaneous <br /> PERMIT FEE CALCULATION <br /> 1. CQNTRACT PR�CE "`is 1.25% of contract price with a (Minimum Fee af$50.00) <br /> r'� _ �, Ol� <br /> Sv� x.0125 $_ �� <br /> (contract price} �(�inim m $50.00) /, <br /> 2. STATE SURCHARGE �� <br /> 50� ' <br /> x_�0�5 $. <br /> {contract price) <br /> 3. POSTAGE& HAldDLI1VG (Only on Mail-)n Applications) $ 2.00 <br /> °� �� <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ' �J <br /> "` CONTRACT PR10E or J08 COST means the actua! or es6mated dollar a�nount charged for the <br /> permitted work inciuding matetials, labor, profit, and other fixed costs. It is the amount to be chargeci to <br /> the customer for the work done. If any material, equiprnent, labor ar instaNations are fumished by the <br /> owner, tenant or any other party, the reasonable market value of such items must be addecf to the <br /> estimated cast or contract price for permit fee purposes. �n the event that there is a dispute on the <br /> amourrt of the job cost, the City may request the submission of a s�gned copy of the actual con#ract. <br /> FLUMBING PERMfT APPLICATIQN AGREEM�NT <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 reguEations of the State of Minnesata, and <br /> cert�es that all statements made on this application are complete, true and correct. <br /> Applicant's Signature: p��: U � <br /> Building OfficiaU Inspector: Date: <br /> Psge 2 <br />