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2016-00643 - gas line only
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2195 French Lake Road - 10-117-23-21-0006
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2016-00643 - gas line only
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Entry Properties
Last modified
8/22/2023 3:20:30 PM
Creation date
11/23/2016 9:45:10 AM
Metadata
Fields
Template:
x Address Old
House Number
2195
Street Name
French Lake
Street Type
Road
Address
2195 French Lake Road
Document Type
Permits/Inspections
PIN
1011723210006
Supplemental fields
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Updated
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. N <br /> 1. CONTRf1C'�'��C�, *is 1.25%of co�tzact prica with a(Min9mum k'ee of�54.00) <br /> ���_0125$ c��.E?� <br /> (ContraCC price) (minimam$SO.Up) <br /> 2. STA3E SU�2C�A,.RGE <br /> �a2+S .� x.0405 � . �6 <br /> (contract prA�) <br /> 3. POS�',A.G�&kI.A,NDL,ING(Only o�z 11�a�1-In Applications) $��,�' ✓' _ <br /> �. TOTt1L PERM�',I'k'��(Add Lincs I-3.A,bove) $���• J� <br /> ■ � CONTIZACT PRiC� ox JO$ COST mea�s t,�e actual or �stimated dollar amoiuit charged for tl�e <br /> �ez-zx�itted work includang irx�atez•iats,labor,profit,and othe�r�xed costs. It zs the azxaflunt to be charged <br /> to the customet•for the work clone. �f any material,equipme�t,aabor or installations are�'urnished by t}ae <br /> owner, tenax�t or any oCher party, tl�e �easoz�able market value of sach ite:ms must be added to the <br /> esti.mated cost or eontract price;For�ermit fee purposcs. In tkae event that tFiere is a dis�ute o�.tlae amount <br /> of the job cost; tk�e City may request tk�e subz�ission of a signed copy of the aetual contxact_ . <br /> � <br /> The tmdersigned hez'cby applies to tk�e C�ty for issuance of a Meci�anical Permit, agrees to do all <br /> work in striet aeeordance with tkxe ordina,nces of the Cary atxd the r�gulations of ttze SCate of <br /> Minnesotia,at�d certifies that all statezaa�nts made oa this a�p]ieat#an are complete,brue and correct. <br /> � � <br /> Applicant's Signature: Date� �--���� <br /> 3 <br />
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