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2005-P08467 - gas line inspection
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2220 French Creek Circle - 10-117-23-32-0004
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2005-P08467 - gas line inspection
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Last modified
8/22/2023 3:25:20 PM
Creation date
11/30/2016 11:40:16 AM
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x Address Old
House Number
2220
Street Name
French Creek
Street Type
Circle
Address
2220 French Creek Circle
Document Type
Permits/Inspections
PIN
1011723320004
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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 <br /> requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by 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 above does not apply, follow guidelines below: <br /> 1. Contract Price* is 1.25%of job with a Minimum Fee of($35.00) <br /> x A125 $ .�J ,O� <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> X .000s $ ; �G <br /> (contract price) (mi�imum$.50) <br /> 3. Posta�e and Handlin�(Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 '�],Q� <br /> *CONTRACT PRICE or JOB COST means the a�tual or estimate�do11N�,�um chargeu ror tne permitted work <br /> including materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer far the work <br /> done.If any material,equipment,labor,or installation is furnished by the owner,tenant or any other party the <br /> reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes.In <br /> the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of <br /> the actual contract. <br /> **The STATE SURCHARGE is.0005 of che conVact price under$1,000,000 or$.50-whichever is greater.For <br /> valuations over$1,OOQ000 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 <br /> accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that <br /> all statements made on this application are complete,true and correc� l 1 <br /> % <br /> Applicant's Signature: ���'�'� Date: �—,�c�-�e(J�-f <br /> Approved By: '�/ � Date: <br /> 5"t �lT c �-.� c e,.�S� <br /> � ►3or.h� c�+.� � i�r <br />
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