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2012-00390 - water heater
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124 Chevy Chase Dr - 36-118-23-41-0039
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2012-00390 - water heater
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Last modified
8/22/2023 5:04:50 PM
Creation date
4/12/2016 10:33:43 AM
Metadata
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Address
House Number
124
Street Name
Chevy Chase
Street Type
Drive
Address
124 Chevy Chase Drive
Document Type
Permits/Inspections
PIN
3611823410039
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. PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 <br /> If above does not apply;follow guidelines below: <br /> I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �i + `" � !1 Z <br /> � ���� X .o�zs $ � �� �-� , <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE �$� <br /> x .0005 $ • <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. [t is the amount to be charged <br /> to the customer fior 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 /> PLUMBING PERMIT APPLICATION AGREEMENT <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 ll statements de on this application are complete, true and <br /> correct. � <br /> C �-ZJ G <br /> Applicant's Signature: -v < Date: ,� �-- <br /> , <br /> i <br /> Reset Form <br /> 3 <br />
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