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�� � s � � PLUMBING FIXTURES BElNG1NSTALLED �� ���� � " �." � ,` <br /> FIXTURE BSMT 1sT 2ND OTHER FI�PE E BSMT Floor Floor �THER <br /> TYPE Floor Floor <br /> Water Closet � Floor Drains I <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 /> ��.n� � a �� } <.. � t ��.��•• � <br /> �`� �� r. �ix. =a �,��x �� .F'ERMIT FEE CALCULATION � <br /> ���F� �� <br /> 1. CONTRACT PRICE "' is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> a . ��'a x .0125 $ <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) $ �.0, <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ��/� �� <br /> " CONTRACT PRICE or JOB COST means the actual or estirr�ated 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 APPLIGATION�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 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: Date: 7 � �� � <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />