Laserfiche WebLink
4 PLUMBING FIXTURES BEING INSTALLED <br /> • FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sT 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet 3 Flo r Drains <br /> Lavatory Se r Ejector <br /> Bathtub ' Lau dry Tray <br /> Shower I Was er <br /> Kitchen Sink I Wat r Heater <br /> Disposal I Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Lo Miscellaneous <br /> PERMITTEE CAL , ULATION <br /> 1. CONTRACT PRICE '"is 1.25% of contract pri with a (Minimum Fee of$50.00)Q <br /> 0 —") —x .0125 $ (0 <br /> (contract <br /> - I <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> d6 x .0005 $ ' I • L <br /> (contract price) <br /> 3. POSTAGE& HANDLING (Only on Mail-In App icabons) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ /- (0 -I <br /> CONTRACT PRICE or JOB COST means the actual I or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and otherlfixed 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 marke 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 submis ion of a signed copy of the actual contract. <br /> PLUMBING PERMIT APPLIGA ION AGREEMENT <br /> The undersigned hereby applies to the City for issuance o 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 /> Applicant's Signature: Date: ! ( GI I` -7 <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />