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2012-00928 - replace water heater
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1465 Fox Street - 02-117-23-33-0002
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2012-00928 - replace water heater
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Last modified
8/22/2023 4:09:35 PM
Creation date
10/6/2016 2:00:04 PM
Metadata
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Template:
x Address Old
House Number
1465
Street Name
Fox
Street Type
Street
Address
1465 Fox St
Document Type
Permits/Inspections
PIN
0211723330002
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. . � . <br /> PERMIT FEE CALCULATION(S) -JOBS OVER $500.00 <br /> If above does not apply; iollow guidelines bclow: <br /> L CON"I�RAC'1� PRICE * is 1.25'%oi'contract price�vith a(Niinimum l�ce of�50.00) <br /> ��7� x .01?� S JCi �Q U <br /> (contract price) (minimum�$0.00) <br /> Z. STATI?SURCHARCF <br /> ��G( ( x .0005 $ �(� <br /> (contract price) <br /> 3. POSTAGE& HANDLING (Only on Mail-[n Applications) S 2.00 ;_� <br /> d. TOTAL VGRMIT FEG(Add Lines I-3 Above) � S� .��(� �� <br /> ■ * CONTRACT PRICE or .TOL� COST me:ins the actual or e�timakc�i dollar amount charged lor thc ---� <br /> permitted work including materials, labor, profiC, and other fixed cosls. It is lhe amount to be charged ��'"� <br /> to thc customer for the work donc. If any material, equipment, labor or installations arc furnished by <br /> the owner, tenant or any other party, the reasonable markct valuc oi�such items must be adde� to thc <br /> estimated cost or contract pricc for permit fee purE�oses. In the event that there is a dispute on thc <br /> amount of thc job cost, thc City may request the submission of❑ signcd copy of the aclual conU�act. <br /> PLUMBING PERMIT APPLICATION AGREEMENT <br /> The undersigned hei-eby applies to the City for issuance o1'a Plumbin� Permit, agrees to do �ill <br /> �vork 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 /> Applicant's Signature: '��7,�� Date: �— �� ��� ... <br /> Reset Form <br /> 3 <br />
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