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2016-00085 - gas line only
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3640 Jacobs Mill Road - 32-118-23-24-0010
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2016-00085 - gas line only
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Last modified
8/22/2023 4:40:11 PM
Creation date
3/15/2017 10:42:42 AM
Metadata
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Template:
x Address Old
House Number
3640
Street Name
Jacobs Mill
Street Type
Road
Address
3640 Jacobs Mill Road
Document Type
Permits/Inspections
PIN
3211823240010
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�. <br /> a� ' <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> `��� x.0125$� <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE ���� <br /> x.0005 $ . ��_ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��` '�� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 the <br /> 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 amount <br /> of the job cost, the City may request the submission of a signed copy of the actual contract. <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 correct. <br /> Applicant's Signature. Date: o�� �� <br /> 3 <br />
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