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1 <br /> P L U M B I N G P E R M IT A P P L I C A T I O N <br /> CITY 'OF ROSEVILLE <br /> 2660 Civic Center Drive- <br /> Roseville,, Minnesota ..5511.3 <br /> Structure used as: „Date: <br /> OWNER: ADDRESS: <br /> PLUMBER: ADDRESS: <br /> Job Site: <br /> Water Closet Bath Tub Kitchen Sink <br /> Urinal Shower Wash Basins <br /> Gas Stove Water Heater Dish Washer <br /> Laundry Trays (2) Garbage Disposal Drinking Fountain <br /> Floor Drains Catch Basin Storm Sewer <br /> Other: Slop Sink Wet Bar <br /> Plumber Signature For City of Roseville <br /> PERMIT FEE's: Each Fixture/opening 7.00 <br /> Garbage Disposal, Water Heater, Dish Washer 7.00 <br /> M&my Sewer x,:,20 rW7 <br /> (plus) — <br /> Plumbing Permit Fee 15.00 <br /> State Surcharge .50 <br /> $ <br /> + ,$.50 = $ <br /> (total permit charge) <br /> (Receipt Number) <br />