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2012-00687 - vacuum breaker
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10 Myrtlewood Rd - 36-118-23-33-0009
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2012-00687 - vacuum breaker
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Last modified
8/22/2023 5:03:01 PM
Creation date
8/1/2017 12:01:30 PM
Metadata
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Address
House Number
10
Street Name
Myrtlewood
Street Type
Road
Address
10 Myrtlewood Road
Document Type
Permits/Inspections
PIN
3611823330009
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. �+ <br /> � ` <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> x.0125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCI3ARGE <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted 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 parly, the reasonable market value of such items must be added to the <br /> estixnated cost or contract price for permit 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 /> 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 /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: ��"'ICJ Date: � �� I � <br /> 3 <br />
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