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2016-00784 - gas line only
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4700 Creekwood Trail - 30-118-23-33-0004
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2016-00784 - gas line only
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Entry Properties
Last modified
8/22/2023 4:27:34 PM
Creation date
7/12/2016 9:54:17 AM
Metadata
Fields
Template:
x Address Old
House Number
4700
Street Name
Creekwood
Street Type
Trail
Address
4700 Creekwood Trail
Document Type
Permits/Inspections
PIN
3011823330004
Supplemental fields
ProcessedPID
Updated
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�. CO T�t 4CT P�t�C� * �s �.25%o�contraot pr�ce with a(��inimum k'ee of�50.00) <br /> �_;p , c7 p �.oYzs� d . C)D <br /> {cont��act price) (minimum 550.00) <br /> 2. S"t'. 'Z'�SLTRCI�A�,�tGE <br /> � ' 0� x.0005 � , <br /> (coczhact pi7ce) <br /> 3. POS�'AGE&HANbLING(Only oa�Mail-In Ap�lication,$) $_ 2.00 <br /> 4. TQ'�.A„L PERNI,�'�'k'E�(Add Lines Z-3 l�bo�e) � ,��, � � <br /> • * CONT�t,A,CT YRIC� or J'OB COST means the actual or estimated dollar amount ck�az�ged for tiae <br /> pernaitted wor�C az�cluding�xzaterials,�abor,pro�t, aad other fzxed costs. It is the azx�ount to be charged <br /> to the customer foK t�e work do�e. I�any zx�;aterial,equi�merit,labor or instaIlations are�'urnished by the <br /> owrier, �enant ar ariy othex party, tl�e reasonable market value of such items znust be added. to the <br /> estimated cost or contraet price for pem�it�ee p�uposes. In the eve�nt t��at thexe is a,dis�ute on the a�otu�t <br /> o�' the job cost, the City rttay x-equest t.�,e submission of a sag�ned eopy of the actual eo��,tract. <br /> T�Ze u,ndersig�aed hereby applies to the City for issuance of a�techanica� Permit, agrees ta do aIl <br /> work in st�eict accoXdance wzt� the oi�iataances of the City and the xegulatioz�s of the State of <br /> MiiuleSOta,and cex-ti�es that a11 st��terne;�Cs made oz�this a�p�ication ar�com;plet�,true ar�d correct. <br /> Ap�lacaut's 5ag�zature: �eL� ����Trv�--�' �7ate: 7 -` �'�� <br /> 3 <br />
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