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�' <br /> . <br /> FIXTURE BSMT �sr 2ND OTHER FITMPEE 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 /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> 1. CONTRACT PRICE " 's 1.25% of contract price with a (Minimum Fee of$50.00) <br /> � �d� x .0125 $ <br /> Id <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> x .0005 $ <br /> (contract price) <br /> 3. POSTAGE 8� HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � <br /> * CONTRACT PRICE or JOB COST means the actual fixedSc stseatas the amount to be cha ged to <br /> permitted work including materials, labor, profit, and other <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 Cit ' s�a e of a Plumbing Permit, agrees to do all work in <br /> strict accordance with t r i anc ity and th regulations of the State of Minnesota, and <br /> certifies that all statem nts ma e is plic i re com lete, true and correct. <br /> Applicant's Signature. <br /> Date: � a � � <br /> Building OfficiaU Inspector: Date: <br /> Page 2 <br />