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2010-00990 - gas fireplace
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1055 Ferndale Road West - 02-117-23-43-0029
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2010-00990 - gas fireplace
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Last modified
8/22/2023 4:10:56 PM
Creation date
9/9/2016 12:28:56 PM
Metadata
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Template:
x Address Old
House Number
1055
Street Name
Ferndale
Street Type
Road
Street Direction
West
Address
1055 Ferndale Rd W
Document Type
Permits/Inspections
PIN
0211723430029
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� . <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not reyuire modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fi�cture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION S -JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) <br /> � D L`tZ� - �� x.0125$ S G`? C� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) <br /> ���.ti .t� x.0005 $ �� �� <br /> (wntract price) (minimum S 5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S S 7� �'� <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 <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 /> ■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical 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 /> ApplicanYs Signature: � ._�----�--` Date: G �//U <br /> ���i- <br /> Reset Form 3 <br />
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