Laserfiche WebLink
PLUMBING FIXTURESBEING INSTALLED ' <br /> �. <br /> FIXTURE BSMT 1ST 2ND OTHER FI�PEE BSMT Floor Floor OTHER <br /> -rypE Floor Floor <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> �� m � �"v= �:� PERMIT FEE CALCULATION � <br /> +�,�1�,� ;��a<�. �:�'f.e �"^` - � _ <br /> 1. CONTRACT PRICE " is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> G�� ` (,� C.: <br /> .� �c,�� x .0125 $ � <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> I � L'�-� <br /> x .0005 $ / <br /> (contract price) <br /> 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2•��/ <br /> , <br /> � ��-,' <br /> L <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 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 regulations of the State of Minnesota, and <br /> certifies that all statements made on this application are complete, true and correct. <br /> ApplicanYs Signature: �tl' Date: <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />