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1.2/I9/2017 14:00 FAX 9529335049 CULLIGAN MNTKA 11003 <br /> PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 18T 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 /> Disposal Water Softener ' <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> PEERMIT FEE.CALCU!LATIOkI kg t *E r, r r <br /> 1.--CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee-of$50.00) <br /> c3 00 p x .0125 $ 5O . 0O <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> x .0005 $ <br /> (contract price) <br /> 3. POSTAGE & HANDLING (Only on Mail-In Applications) $ 2:00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ 5a. .S <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 dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> l;, s{SMIllgt r.`UMBiING P03- ITAPPLICAllONAGREEI`lENTI e.,. .tt, ftp : ',;. }t;i <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 statemen made on this application are complete, true and correct. <br /> Applicant's Signature: Date: / <br /> a (S' - 1' 7 <br /> Building Official/Inspector: Date: <br /> Page 2 <br />