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03/23/2018 FRI 14: 16 FAX 763 473 8565 Sabre Heating 6 Air Cond Q003/006 <br /> � r <br /> ,bl !,' <br /> FIXTURE BSMT 18T 2N° OTHER FIXTURE BSMT 1ST 2N° OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet Floor Drains Y W <br /> Lavatory t , a,,, _ 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 /> 1. CONTRACT PRICE *Is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 1-5I62.60 x.0125 $ 1(44. 5.-3 <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <br /> 1 3_1 L 2•GG x .0005 $ b.45 K <br /> (contract price) <br /> 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) A -J <br /> " CONTRACT PRICE or JOB COST means the actual or estimated dollar amounrged 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 /> r.IL I�I�,V�I_ li I, ,H,"; ,1V"4l ;':k`4 ' ia� �r '''1 <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 /> Applicant's Signature: V Date: <br /> Building Official/ Inspector: Date: <br /> Pegs 2 <br />