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2005-P09268 - vacuum breaker
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3085 Jamestown Road - 28-118-23-33-0010
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2005-P09268 - vacuum breaker
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Entry Properties
Last modified
8/22/2023 4:24:20 PM
Creation date
3/21/2017 12:06:02 PM
Metadata
Fields
Template:
x Address Old
House Number
3085
Street Name
Jamestown
Street Type
Road
Address
3085 Jamestown Road
Document Type
Permits/Inspections
PIN
2811823330010
Supplemental fields
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Updated
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� . a <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($3�.00) <br /> W ��.'r .�;!rv x .0125 $ °.7 . (i <br /> (contrac[ pr.c�) <br /> 2. State Surcharge. ** Add the State Buildin� Code Division <br /> Surcharge to each permit. x .0005 $ i � <br /> (contract pr.x) <br /> or $.50, whichever is greater <br /> 3. PostaQe and HandlinQ (Only mail-in appli:.ations) $ 1.50 <br /> 4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ � .(g� <br /> � <br /> * CONTRACT PRICE or JOB COST means the actuzl or estimated dollar amount charged for the permitted <br /> work including materials, labor, profit, and other h�ed cosu. It is the amount to be charged to the <br /> cuscou�er for the work done. If any macerial, equip��n[, labor, or installation are furnished by the owner, <br /> tenant or any ocher party the reasonable market v�:•_e of such items must be added to the estimated cost <br /> or contract price for permit fee purposes. In the eve�_ �at[here is a dispute on the amount of the job cost, <br /> the Ci�y may request the submission of a signed co�;: of che actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contr��: price uader $1,000,000 or $.50 - whichever is <br /> greater. For valuations over 51,000,000 call the D:�zrtment of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for iss��r_ce of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of t�e City and the regulations of the State of <br /> Minnesota, and certifies that all statements made en this application are complete, true and <br /> correct. <br /> � ��'•��� <br /> Applicant's Signature: /�� Date: <br /> � a��.�� � <br /> .Q,�"� �t.1��lhti9�+� CC?✓�U�'rSct�'h� °-, F'e� t� va.0 i�,+n�� ��"�I�� <br /> • �� rMT�.�w1kM 1-��- t9� ���,6(�' , <br /> � <br /> � <br /> I <br /> i <br /> i <br />
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