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2012-01257 (plumbing)
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4010 Bayside Road - 06-117-23-11-0007 - New PID
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4010 Bayside Rd - 06-117-23-11-0006 - Old PID
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2012-01257 (plumbing)
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Entry Properties
Last modified
8/22/2023 5:23:04 PM
Creation date
1/19/2016 1:23:40 PM
Metadata
Fields
Template:
x Address Old
House Number
4010
Street Name
Bayside
Street Type
Road
Address
4010 Bayside Rd
Document Type
Permits/Inspections
PIN
0611723110007
Supplemental fields
ProcessedPID
Updated
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PERMiT FEE CALCULATION(S)-JOBS OVER $500.00 <br /> ►f abovc docs not apply; follow�uidclines below: <br /> 1. CONTRACT PRICE * is 1.25"%of contract price with a(Minimum Fee of$50.00) <br /> x .012� S <br /> (contract pricc) (minimum!FS0.00) <br /> 2. STATE SURCHARGE <br /> x .0005 S <br /> �conn'act pnce) <br /> 3. POSTAGE& HANDLING(Only on Mail-ln Applications) $ Z.pp <br /> 4. TOTAL PERMIT I�EE (Add Lines 1-3 Abuvc) $ <br /> • * CONTKACT PRiCE or J08 COST i»eails the actuai or estimated dollar amount charged for the <br /> pcnnitted wurk including matcrials, labor, profit, and other fixed costs. Tt is the amount to be charged <br /> to the customer tbr the worlc done. Tf an_y 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 ro d�c <br /> cstimatcd cost or contract pricc for permit fcc purposcs. 1n the cvcnt that thcrc is a dis�iutc on thc <br /> amuunt of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ---- ---- -------------- <br /> PLUMBING PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the Ciry for issuai�ce of a Plumbing Permit, a�rees to do all <br /> work in strict accordance with the ordina�ices of the City and the regulations of the State of <br /> Minncsota, and ccrtitics that all statcmcnts made on this application arc complctc, truc and <br /> correct. <br /> Applicant's Signature: � � � ��j��g��(� <br /> Date: <br /> Reset Form <br /> 3 <br />
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