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2016-01009 - mechanical
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2650 Countryside Drive West - 04-117-23-12-0014
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2016-01009 - mechanical
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Last modified
8/22/2023 5:07:10 PM
Creation date
8/23/2016 8:45:59 AM
Metadata
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Template:
x Address Old
House Number
2650
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2650 Countryside Dr W
Document Type
Permits/Inspections
PIN
0411723120014
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Updated
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PERMIT FEE CALCULATIONS <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 6900.00 x .0125 �, $6.25 <br /> (contract price) (minimum S_50.00) <br /> 2. STATESURCHARCE <br /> __6900 00 _x .0005 �__ 3.45 __ <br /> (contract price) <br /> 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 91.70 <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. 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 the <br /> 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 amount <br /> of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do alt <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota,a��d certifies that all statements made on this application are complete,true and correct. <br /> Applicant's Signature: ' Date: 08/15/16 <br /> 3 <br />
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