Laserfiche WebLink
PLUMBING FIXTURES BE1NG INSTALLED �� <br /> x <br /> FIXTURE BSMT 15T 2ND OTHER FI�PE E BSMT Floor Floor OTHER . <br /> TYPE Floor Floor <br /> Water Closet � Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower � Washer <br /> Kitchen Sink Water Heater <br /> Disposai Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> ,� , <br /> � ,��. �_ � ` � �� �,����-';�'� ��;.� PER(�IIfi�fEE GALCULATION � � � <br /> 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) �C C� <br /> ���' l� ) <br /> x .0125 $ <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE ,,-� �l'.C' <br /> x .0005 $ ` <br /> (contract price) <br /> 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ �� <br /> �t'�� L�� <br /> '" i �/ <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ � <br /> '` CONTRACT PRICE or JOB COST 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 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 /> PLUMBING PERMIT APPLICATION AGREEMENT . � � <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 ordin ces of the City and the regulations of the State of Minnesota, and <br /> certifies that all statements mad o this ap i ation are complete, true and correct. <br /> Applicant's Signature: <br /> Date: � r � ( <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />