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2014-01282 - plumbing
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248 Cygnet Place - 04-117-23-23-0017
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2014-01282 - plumbing
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Last modified
8/22/2023 5:10:05 PM
Creation date
6/13/2016 1:44:50 PM
Metadata
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Template:
x Address Old
House Number
248
Street Name
Cygnet
Street Type
Place
Address
248 Cygnet Place
Document Type
Permits/Inspections
PIN
0411723230017
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PERMIT FEE CALCULATION S)-JOBS OVER $500.00 <br /> If above does not apply; follow guidclines below: <br /> 1_ CONTRACT Pi2ICE *is 125%of contract price with a(Minimum Fee of$50.00) <br /> .D�? � �o <br /> �" IZ,c� . X.«r�5 $.� �5c� <br /> �(cuntract price) (minimum$50.00) <br /> 2. STATE SURCHARGE � �� ���� �� (�� <br /> � x .0�05 $ <br /> (eontract priee) <br /> 3. POSTACE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> L� ��� <br /> 4. TOTAL PERMIT FF.E(Add Lines 1-3 Above) $ � �J <br /> ■ * CONTILACT PRICE or 10B COST means the ac:taal or estiinated dollar amount charged for the <br /> pe�nnitted work inchtdmg materiats, labor,pcUfit,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 installatioiis 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 far permit fee pur�oses. In the event diat there is a dispute ov the <br /> amount of the job cost, the City may request the submission of a sigi�ed copy of the actua) contract. <br /> PLUMBING PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Plutnbing Permit, agrees to do all <br /> work in strict acwrdance with flze ordinanet;s of the City and the r,egulations of the State of <br /> Minnesota, and certifies that atl statements inade on this application are compiete, true and <br /> correct. <br /> Applicant's Signature: Date:�,3 � <br /> 3 <br />
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