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2004-P08258 - gas fireplace
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4470 Forest Lake Landing - 07-117-23-24-0040
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2004-P08258 - gas fireplace
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Last modified
8/22/2023 5:33:05 PM
Creation date
9/28/2016 12:58:04 PM
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Address
House Number
4470
Street Name
Forest Lake
Street Type
Landing
Address
4470 Forest Lake Landing
Document Type
Permits/Inspections
PIN
0711723240040
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� <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ 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 require modification to elecn•ical or gas service. <br /> 2) Has a total cost of�500.00 or less; excluding the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced Uy the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If aUove does not apply, follow guidelines Uelow: <br /> 1. Contract Price* is .0125% of joU with a Mi► 'mum Fee of($35.00) <br /> � <br /> � ? 0�� x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of'($ .50) <br /> x .0005 $ <br /> (contract price) (minimum$.50) <br /> 3. Postage and Handlin� (O»ly�nai!-in applicatioits) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted�vork including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes. (n the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signed copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> �� � � <br /> � Applicant's Signature����� �1.�`'.�1L-1� Date: � �n �� <br /> Approved By: Date: <br /> 3 <br />
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