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2018-00212 - gas line only
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2695 Shadywood Road - 21-117-23-24-0056
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2018-00212 - gas line only
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Last modified
8/22/2023 4:05:30 PM
Creation date
10/17/2018 12:15:17 PM
Metadata
Fields
Template:
x Address Old
House Number
2695
Street Name
Shadywood
Street Type
Road
Address
2695 Shadywood Road
Document Type
Permits/Inspections
PIN
2111723240056
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� . , <br /> Feb. 27. 2418 12: 18PM PRACTICAL SYSTEMS No. 4175 P. 4 <br /> _�`�`�`;����� �' - � <br /> l. CONTRACT PRICE s is 1_25%of conlrsct pricc with a(Mfuimum�'ee ai$50.00) <br /> � ����� x.0125$ �d �L� <br /> (conlract price) tminlmum Si0.00) <br /> z. srAz�su�cxaxcE <br /> *l rab0•l�L� X.000s � , �� <br /> ������;�� <br /> 3, POSTAGE&HANDLiiVG(Only on Mail-Iu Applications) $„ 2.00 <br /> 4. TOTAL p�Rri�1T�EE(Add Lines �-3 Above) S ��',� <br /> ■ ' CONTRACT PRICE or JOB COST means tl�c actual or estimatcd dollar amount charged for die <br /> permi�ted work including materials,labor,profil,and olher fixed costs. It is the amounk to be cl�srged <br /> lo die customer for the work done. Tf any marerial,equipment,labor or installations are furnished by the <br /> owner, tenant or any other paity, tl�e reasonable market value of such itcn�s musl be added to tlie <br /> estimated cost or con�ract price for pem�it fee purposes. in 1he eveitt that there is a dispute on lhe amouul <br /> of the job cost, the Ciry may request the submission of a sigtied copy of �he actual contrac� <br /> Tlie undersigned hereby applies to the City for issuance of a Mecl2anical Permit,agrees to do all <br /> work in strict accordance with t�e ardinances of tlie City and the regulaCious of thc State of <br /> Minnesota,and certifies th�t all statements made on tliis applic�tiou are complete,truc and coa•�•ect. <br /> Applicant's Signaeure: ��+�� _ / Date: a��a'� I�(� <br /> ,SO �►�l l `�1 �� [�,v1C.� ` 5 �A �'P�.1 r <br /> � � <br /> � <br /> ft��ac.�- <br /> 3 <br />
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