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2015-00218 - plumbing
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2775 Countryside Drive West - 04-117-23-12-0016
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2015-00218 - plumbing
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Entry Properties
Last modified
8/22/2023 5:07:17 PM
Creation date
5/11/2016 10:10:43 AM
Metadata
Fields
Template:
x Address Old
House Number
2775
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2775 Countryside Dr W
Document Type
Permits/Inspections
PIN
0411723120016
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Updated
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From:7634974263 02/z3/2015 08:53 #552 P.004/004 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minin�um Fee of$50.00) <br /> �f � � �'J � x.0125$ ��� <br /> 1y� �w <br /> (contract price) (minim m$50.00) / <br /> 2. STATESURCHARGE <br /> �� ��� <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2 <br /> � �� 11P <br /> 4. TOTAL PERMII'FEE(Add Lines 1-3 Above) S � <br /> ■ * CONTRACT PWCE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work iucluding materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any materiul,equipment, labor or installations are fumished 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. Tn 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 /> 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 /> � <br /> � / � ��/�� � i� <br /> Applicant's Signature: C'.�-��G� YGv") ;���Cc���1�< Date: <br /> 3 <br />
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