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2005-P08994 - gas fireplace
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565 Leaf Street - 05-117-23-41-0028
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2005-P08994 - gas fireplace
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Last modified
8/22/2023 5:22:03 PM
Creation date
5/3/2017 2:19:21 PM
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Template:
x Address Old
House Number
565
Street Name
Leaf
Street Type
Street
Address
565 Leaf St
Document Type
Permits/Inspections
PIN
0511723410028
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t y � .... ._ . � <br /> • ..�� <br /> ,.�� <br /> s <br /> PERMIT FEE CALCULATION(Sl <br /> 2002 State Statute ❑Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the foilowing requirements: <br /> 1) Does not require modification to electrica] or gas service. <br /> 2) �-Ias a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeo�vner or licensed contractor. <br /> Skip next section; Cost of Permit $ I5.00 <br /> State Surcharge$ ,50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines belorv: <br /> 1. Contract Price" is .0125% of job with a Minimum Fec of($35A0) <br /> I I v'�' �' x .0125 $ ��, �J <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharae. **Add the State Building Code Division a Minimum Fee of($ .50� <br /> . � <br /> ___��_{�a� x .0005 $ .s'� <br /> jcontract price) (minimum$ .50) <br /> 3. Postage and Hanciling(Oftly rv:ail-i�c applications) $ '�, <br /> 4. TOTAL P�Y�i1IT F�E (Add lines 1-3 above) $ .,j,��— <br /> �`CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includin, I <br /> materials,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 the owner, tenant or any other party the reasonable market value of sucti 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 I <br /> the job cost,the City may request che submission of a si�ned copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under�1,OOU,OQO or�.50-whichever is greater.For valuations over <br /> $[,000,000 call the Department of Inspectional Services for.the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Perniit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Buildin;Code,and certifies that all statements made on thi; <br /> application are complete,true and correct. <br /> �� .�Jl <br /> Arrlicant's Sign�tuze: : ;�l�:.u--'� �LJ �+�r�� Date: ���.�-��� <br /> Approved By: Date; <br /> � <br /> � <br />
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