Laserfiche WebLink
I I Fi <br /> :��;���*'�` '"*���`�,�z��*��as, t"` "�'�r.' i� s . <br /> FIXTURE BSMT �sr 2ND OTHER FIXTURE BSMT �sr 2ND OTHER <br /> TYPE Floor Floor 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 /> —__._ <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> ;�� {�'��;�y".y" �,rr�' �i� �x ���.g �'t ��i�u;�a P��~. z� �'� 2>, <br /> ,�r,,,r. 2�>i "�-�� <br /> 1. CONTRACT PRICE *is 1.25% of contract price with a(Minimum Fee of$50.00) <br /> x .0125 $ �� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> x .0005 $ � Z-� <br /> (contract price) <br /> 3. POSTAGE&HANDLfNG (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �d�Z� <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 dlspute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> �.x .a.;.u .��x ^ti; �i�!f`b <br /> ?.�` i.�s' ;`¢'k,jt.or,,�' ��,�µtrssa`,'h.1�.' <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 statement e on this application are complete, true and correct. <br /> ApplicanYs Signature: Date: <br /> Building Official/Inspector: Date: <br /> Page 2 <br />