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2014-01084 - plumbing
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2054 Shoreline Drive - 10-117-23-34-0015
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2014-01084 - plumbing
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Last modified
8/22/2023 3:27:07 PM
Creation date
11/26/2018 2:45:20 PM
Metadata
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Template:
x Address Old
House Number
2054
Street Name
Shoreline
Street Type
Drive
Address
2054 Shoreline Drive
Document Type
Permits/Inspections
PIN
1011723340015
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PERMIT FEE C�LC�A'��Q!� � =�{�BS'QVER$5�{?.fl� ��'e� � "` <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �'1��.�'.�� x.0125$ Cx� ,�� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE C4�,��`�f"� x.0005 $ � �i '� <br /> �� ' <br /> (contract price) � <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ��� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the 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 .�-��.�z�y>, .�`; LUMBTNG P���+r��T APPLICATI�I�T�:GREEMEi�I��, � ,�; 3�as���ar "' f / <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> � � ` �' ' ' � �� 1 <br /> Applicant's Signature: � Date: C <br /> 3 <br />
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