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2007-P10769 - water softner
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920 Brown Road South - PID: 10-117-23-12-0002
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2007-P10769 - water softner
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Last modified
8/22/2023 3:18:31 PM
Creation date
2/5/2016 3:39:41 PM
Metadata
Fields
Template:
x Address Old
House Number
920
Street Name
Brown
Street Type
Road
Street Direction
South
Address
920 Brown Road South
Document Type
Permits/Inspections
PIN
1011723120002
Supplemental fields
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Updated
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, p�.�vur�E�_e�ccc�„w�rroN s�-JaBs ov�ssao.00__��___�...� <br /> 1f above doee not appfy; follow�uidelines trelow: <br /> 1. CONTEtAC.T�CE,, � is 1.25p/e o�'r..ontr�cc price with a(Minimum Fee of S33A0) <br /> x.O l25 S <br /> (contnct pr�ce) (min�mum 535.04j <br /> ?. �TATE SliR�A,�tGE •` Add the State�ld�Codt Div. Surchar�e(:btiaimu�a�'.e of 5.�fl? <br /> � x .0005 S _ <br /> (:onuact pricc;� (min;mum f SJ) <br /> 3. F'USTAGE&HA`VD1.IT�G(Or,ly on Mai1•In Appiic�tionsl 3� ,js� <br /> 4. "!'OTAL PFitMIT IFFF(Add Lines l-3 Aboot) S��r.� <br /> • • CG?��T'RACT FRlCE or JOB COS? means ehe �tual �r estira�ated dollar ameunt charged for thc <br /> �c,m.:'srted work inctuding ,�iaterisls, ialaor, praft,and ac!►er fixed costs. It is the atnount to be charged <br /> to the cusWmer for the work dona [f eny i»aterial,oquiprs�ent, labor or insu+llations a�rc furnishsd by <br /> the owncr,tenant or an} other party, tht reasonabie :ntrket value of such itecns rnust be added to the <br /> esr�matrd �st or wntrsct price for permit fcc purposes. :n the event thac therf is a dispute on the <br /> amaunc of tne.yob cost, the City may� eeq��e�t tht submission �f a signed copy of the actuai cantract, <br /> � "° 7t►c SUTE Sl'RCHARGE� is .0005 af tht contract pr;ce under S 1,000,U00 or r.50—+�,hichever is <br /> greaur. For raluations over�I,OOO,Od�O call the Building Dtpartment at(4�2)249-4600 for the price. <br /> -�-•,T..._-•-r --R---.-r.-,....�___� <br /> ��. PLU��N�p�RMI'T APPL.I�AT'TON AGREBMENT.� ' <br /> "The undersigned llereby apptics tc the Ciry for issugnce of a Plumbing Pcrmit, agrees lo do alM <br /> work in strict acedrdai�ce wi4h the ar�inancas of the City anci the rcgulations of the Stete of <br /> Min:�esota, and cr.rtifies th�t al! stste zs made �n this application are complete, true and <br /> � <br /> c�rrect. � ;:� <br /> ; , <br /> , <br /> //�l, <br /> Applic�nt's Signature: //� ���; /` � Dnte: �-. 3'. �� _ <br /> �r, <br /> � Rasot Form <br /> 3 <br />
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