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2005-P09078 - gas line inspection
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400 Leaf Street - 04-117-23-23-0010
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2005-P09078 - gas line inspection
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Last modified
8/22/2023 5:09:57 PM
Creation date
5/2/2017 2:38:18 PM
Metadata
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Template:
x Address Old
House Number
400
Street Name
Leaf
Street Type
Street
Address
400 Leaf St
Document Type
Permits/Inspections
PIN
0411723230010
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� <br /> � <br /> � ,�' <br /> , 1`y <br /> . <br /> , <br /> ` PERMIT FEE'CALCULATION(S) - <br /> N: <br /> BASED OFF - 2002 STATE STATUE �+ <br /> �� <br /> ❑ Yes,this section applies :� <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: '' <br /> l. Does not require modification to electrical or gas service. � <br /> 2. Has a total cost of$500.00 or less;exchidin�the cost of the fixture or appliance: and � <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. � <br /> kf <br /> Skip next section,if this applies; Cost of Permit $ 15.00 � <br /> State Surcharge $ .50 �y <br /> Mail-Iu Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ ;i= <br /> k <br /> PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 ' � <br /> � <br /> � <br /> If above does not apply; follow guidelines below: °�= <br /> ;�� <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) � <br /> �C ) � <br /> G%��, � x.0125$ ���� tC <br /> (contract price) (minimum$35.00) ".� <br /> ':� <br /> �:� <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � <br /> � 3� <br /> 4+i <br /> X.���5 $ ' J � � <br /> (contract price) (minimum$ .50) <br /> :� <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 i��� <br /> ;;:� <br /> 4! <br /> r, rj l � <br /> 4. TOTAL PERMIT FEE(Add Liiies 1-3 Above) $ � )` � v � <br /> � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the '"' <br />�:; perniitted 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 must be added to the � <br /> estimated cost or contract price for pernut fee purposes. 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 /> ;� <br /> �� <br /> a **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. "� <br /> :� <br /> u <br /> MECHANICAL PERMIT APPLICATION AGREEMENT �! <br /> �w:: <br /> F� <br /> :.� <br /> ,� <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 <br /> correct. � <br /> Applicant's Signature: � �" Date: o ^ ���O� '� <br /> �� <br /> °� <br /> � , , -• � <br /> ' ` � � ; � <br /> 3 <<:� �'�~`� ' a <br /> � <br /> ; <br /> > '`;:,. <br /> , � ; � � � <br /> .' <br /> ^. <br /> � <br /> � � <br />� . �, . _ _ __ . . . .. .. . ..; __ t. K. ,..... . .- �, _ _> > a .. � .,__ �._,..� ,�,�'� .��..�� �.`�� <br /> -� <br /> ;� <br />
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