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Stewart Plumbing, Inc. 7634281733 p.2 <br /> , � <br /> - PLUMBING FIXTURES BEING tNSTA�LED <br /> FfX7URE BSM7 �sr 2ND �THER FIXTURE BSMT �sr 2Ho �-��� <br /> TYPE Fbor Floor 7YPE Floor Fbor <br /> Water Cioset � Floor Drains , � <br /> Lavatary Sewer Ejector <br /> Bathtub � Laundry Tray <br /> Sho�ver � Washer ! <br /> Kitchen Sink , Water Fieater <br /> Disposal � Water Softener <br /> D�shwasher i Wet Bar � <br /> Sillcocks � Miscellaneous <br /> P�RMIT FEE CALCULATlON <br /> 1. GONTRACT PRICE *is 1.25%of coniract price with a(Minimum Fee of$50.00) <br /> '� �,������?,Dl.� x .0125 $ �3J5D <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> '�7j Ol�• v!� x.0005 $ �� .�D <br /> (contract price} <br /> 3. POSTAGE i�HANDLING(or�1y on MaiE-In Applications) $ 2.00 <br /> 4. T�TAL PERMIT FEE (Add Lines 1-3 Above} $ �7� C � <br /> " CONl'RAC'f PRICE or JOB COST means the actual or estimated daliar amount charged �or the <br /> permitted wark inciUding materials, fabor, prafit,and other f�ced costs. ft is the amount ta be charged to <br /> the customer for the wark done. If any material, equipment, labor or 9nstallations are furnisheck by the <br /> owner, tenant or any other party, ti�e �easonabie market value af such items rrzust 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 /> amot�nt of the job cost, the City may request the submission of a signed c:eoQy of the actual contract. <br /> PLUMBING PERI1�iT APPUCATION AGREEMENT <br /> The undersigned hereby applies to the City for issua�ce of a Plumbing Permit, agrees to do all work in <br /> st�ict accordance with the ordinances of the City and the regulations of the State of Minnesota, and <br /> certffies that a!1 statements made on this applicatmn are complete,true and correct <br /> App�icanYs Signature: t�l..���G� ,�x� _Date: �i�1.3�� �� <br /> Building�fficiaU Inspector_ Date: <br /> Page 2 <br />