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2014-00150 - plumbing
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4055 Elm Street - 06-117-23-41-0106
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2014-00150 - plumbing
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Last modified
8/22/2023 5:28:13 PM
Creation date
7/19/2016 12:56:29 PM
Metadata
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x Address Old
House Number
4055
Street Name
Elm
Street Type
Street
Address
4055 Elm St
Document Type
Permits/Inspections
PIN
0611723410106
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� <br /> � ,. <br /> ' PERMIT FEE CALCULATION S)—JOBS OVER $500.00 <br /> If above does not apply; follow guidelines below: <br /> ]. CONTRACT PRiCE * is ].25%of contract price with a(Minimum Fee of$50.00) <br /> /� /, S�v x .0125 $ <br /> (contract price) (minimum�50.00) <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 far the <br /> permitted work including materials, labor, profit, 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 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 �o 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 /> J -- . r� <br /> ,�--- ��-- <br /> ...� 1 �..J <br /> Applicant's Signature: U���v Date: � � � " � / <br /> 3 <br />
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