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2005-P08839 - gas fireplace
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400 Leaf Street - 04-117-23-23-0010
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2005-P08839 - gas fireplace
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Last modified
8/22/2023 5:09:57 PM
Creation date
5/2/2017 2:38:53 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 /> PER11�iI'I' FEE �ALCU�.,ATIC9I�T(�) <br /> 2Q02 Sfate Statute ❑ I'�s 'I'his Section Appiies <br /> The replacer��ent of a Residential fixture or appliance that meeis all three of the following requirements: <br /> ]) Does not require modification to elech�ical or gas service. <br /> 2) IIas a total cost of$�00.00 or less; excludin� the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowiler or licensed contractor. <br /> Skip next secfion; Cost of Permit $ 1�.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guideIines below: <br /> 1. �oaitr�et Pi-iceX is .0125% of job with a 1:'finimum I'ee o�(�35.00) <br /> � �-��= x .0125 $ �'.�st? <br /> (contract price) (minimum$35.00) <br /> 2. State Surch�r��. ** Add the State Building Code Division a Miniinum Fee of(S; .50) <br /> � �� � x .0005 $ }' �-%% <br /> (contract price) (minimum$ .50) <br /> 3. PQsta�e and Handling (Orily rliail-i�i ap�Zicatio�rs) $ ��-� <br /> 4. �'�'�'AlL ���i�dgT FEE (Add ]ines 1-3 aUove) � ��'� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perrhitted work including <br /> maCerials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment, labor,or installation is fumished by fhe owner,tcnant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of <br /> the job cost,t:he City may request the suUmission of a signed copy of the actual co�tract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$],000,000 or$.50-whichever is greater. For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> 7'he undersigned hereby applies to the City for issuance of a Mechanical Pennit,a�rees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and ct. <br /> �' <br /> j <br /> Applicant's Signature: -�_ .;�r.� — e.� Date: t� �� <br /> ____�� <br /> Approved By: Date: <br /> 3 i <br />
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