Laserfiche WebLink
. , � <br /> PLUMBWG FIXTURES BEING WSTALLED ` <br /> FIXTURE BSMT 1s-r 2ND OTHEP, FIXTURE BSMT 1sT 2ND OTHER <br /> TYPE Floor Floor TYPE Floor Floor <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laandry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater ' <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> PEP.MI i FEE CALCULATION <br /> 1. CO�I i�,��G i �'PIC� * is 1.25% of cont;act price with a (iblen3mum re� o����D.00) <br /> x .0125 $ �� • �l� <br /> (contract price) (minimum $50.00) <br /> 2. S i�.T� S����A�GE <br /> x .0005 $ � • � � <br /> (contract price) <br /> 3. r�S�,�G� g HA�3�LlN� (Only on i�l�il-In Applicaiions) $ 2.00 <br /> 4. TO�AL Q�R��II� F�� (Add Lines 1-3 Abov2) � �3 . O O <br /> � GONTRACT PRICE. or.JOB COST means ihe actual or estimated dollar amount charged for t"e <br /> permitted work inciuding 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 reasonabie market value oi 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 ofi a� signed copy c,f the��a�tua{�eontract: <br /> PLUMBING PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do ail work in <br /> strict accordance with the ordinances of the City and the regulat��s of the State of Minnesota, and <br /> certifies that all statements made o 's applicatio are complete, true and correct. <br /> ���'.-� 9 2 r <br /> Applicant's Signature: Date: t l J �v <br /> ti .. <br /> Building Or"ficial/ Inspector: Date: <br /> Page 2 <br />