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2005-P09085 - vacuum breaker
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568 Keene Avenue - 02-117-23-31-0042
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2005-P09085 - vacuum breaker
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Last modified
8/22/2023 4:08:26 PM
Creation date
3/22/2017 12:15:38 PM
Metadata
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Template:
x Address Old
House Number
568
Street Name
Keene
Street Type
Avenue
Address
568 Keene Ave
Document Type
Permits/Inspections
PIN
0211723310042
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Updated
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� � <br /> , PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> r�lJ.iat� X .�12$ $ <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add tl�e State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> x .0005 $ <br /> (contract price) (minimuni$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.�0 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � <br /> ■ * CONTR.ACT PRICE or JOB COST ineans the actual or estimated dollar amount charged for the <br /> pemutted 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 <br /> the owner, tenant or any other party, the reasonable market value of such items uiust be added to the <br /> estimated cost or contract price for pernut fee puiposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ■ ** The STATE SURCHARGE is .0005 of the conh�act price under$1,000,000 or $.50 —whichever is <br /> greater. For valuations over$1,000,000 call the Building Deparhnent at(952) 249-4600 for tbe price. <br /> � PLUMBING PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Mim�esota, and certifies that all stateinents made on this application are complete, true and <br /> correct. <br /> /S <br /> Applicant's Sigr►ature: � � �lft� Date: �-�`1-U'.► <br /> 3 <br />
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