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r � <br /> Mar 31 16 07:39a Water poctors 7635351805 p.2 <br /> . ,'a <br /> — :-- ,.___ <br /> _ : :. ; �' � PLt�M.B(NG FIXTI�R�S.B�f�1G ffi�ST!°�:�Ep : " : � <br /> FIXTURE BSMT 1ST 2�'1D OTHER FIXTURE BSMT �sr 2+vo aTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> � <br /> Water Closet Floor Drains � <br /> Lavatory Sewer Ejector � <br /> Bathtub Laundry Tray i <br /> Shower r ' <br /> Washe <br /> Kitchen Sink � Water Heater <br /> ; Qisposal ; Water Softener <br /> ; Dishwasher Wet 8ar <br /> i <br /> Sillcacks Miscellaneous <br /> � ; PERMIT FEE C�I,::GUL.�TI£�t ' � <br /> 1. CONTRAC7 PRICE "is 125%of contract price wi#h a (Minimum Fee of$50.00) <br /> x .d125 $ <br /> {contract pricej (minimum $50.00) <br /> 2. S7ATE SURCHARGE <br /> x .00US $ <br /> (contract price) <br /> 3. POSTAGE 8 HANDLING (Only on Mail-In Applications) $ 2.40 <br /> A�. 70TAL P�RMIT FEE(Add Lines 1-3 Above) $ <br /> '" CONTRACT PRICE or J�B C�ST 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 o� any other party, the reasonable market value of such items must be added ta the <br /> estimated cost or contract price for permii fee purpases. [n the event that there is a dispute on the <br /> amount of the job cosi; the City may request the submission of a signed copy of the actual contract. <br /> P�.tJMBING 3'ERMkT APRL3CATltaN AGR��M. �t�T - <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 statements made on this appli ion are complete,true and oorrect. <br /> Applicant's Signature: - �2� Date: <br /> Building Official/inspector. Date: <br /> Page 2 <br />