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Stewart Plumbing, Inc, 7634281733 p.3 <br /> , . . <br /> PLUMBING FIXTURES BE[NG INSTALLED <br /> FIXTURE $SMT isT 2"o pTHER FIXTURE SSMT 1� 2ND OT�-fER <br /> 7YPE Floor Floor TYPE Floor Floor <br /> Waber Closet � � a Floor Drains � <br /> Lavatory � 'J? Sewer Ejector <br /> Bathtub � Laundry Tray <br /> Shower � � Washer <br /> � Kitchen Sink Water Heater <br /> D�sposal Water Softener <br /> Dishwasher Wet Bar <br /> Sil�odcs � Miscelianeo�s <br /> PERMIT FEE CALCULATION <br /> 1. CONTRACT PRICE �is 1.25°Yo of co�tract price with a(Minimum Fee of$50.00j <br /> ��1�� .5���� G�� x.0125 s 5�3��3� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARG� <br /> �y�?, 5��c.vv X.000� � a 1 .3 G <br /> {contract price) <br /> 3. POSTAGE� HANDL.ING (Only on Mai]-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ � �5. �i�� <br /> " CONTRACT PRICE or JOB COST means the actual ar estirnated dollar amount charged for the <br /> permitted work including materials, labor, profit, and o#her fixed costs. It is the amount to be charged to <br /> the customer for the work done. lf any material, equipment, labor or installations are furnished by the <br /> owner, tenant or any other party, the reasonable market vatue of such items must be added to the <br /> estimated cost or cantract 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 APPLICRTION AGREEMENT <br /> The undersigned hereby appiies to the City far 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 akl statements made on this appiication are c:omplete,true and correct. <br /> � Appticant's Signature:_0 1 ��1-- �'�n'�— Date: �' J�� � 7 <br /> BuFlding off�iaU lnspector. Date: <br /> Psge 2 <br />