Laserfiche WebLink
.� 1 ' <br /> f <br /> �II <br /> PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT �sr 2ND pTHER FIXTURE BSMT �sr 2ND pTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> ; <br /> Water Closet Floor Drains <br /> '� <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 /> PERMIT FEE CALCULATION ' <br /> 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> x .0125 $ ��. U U <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> X .0005 $ 1 � �v <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) $ �3• �C� <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 donP. If ?ny mater�al, eq�i�ment, labo� cr installations are furnished by tne <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 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 /> �r ,/� <br /> Applicant's Signature: Date: "(Y Zy � � <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />