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2017-01150 - plumbing
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2560 Old Beach Road - 21-117-23-22-0010
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2017-01150 - plumbing
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Last modified
8/22/2023 4:02:38 PM
Creation date
3/1/2018 1:14:17 PM
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x Address Old
House Number
2560
Street Name
Old Beach
Street Type
Road
Address
2560 Old Beach Road
Document Type
Permits/Inspections
PIN
2111723220010
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PU18;NG75, <br /> 1ST 2Nb <br /> f;IXLJRS=11NG41STALL r . <br /> FIXTURE BSMT IST ND OTHER FIXTURE BSMT Floor Floor OTHER <br /> TYPE Floor Floor TYPE <br /> Water Closet Floor Drains <br /> Lavatory x Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower X Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> 77 <br /> RN 1T1- - <br /> 1. CONTRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$50.00) <br /> &Z) x .0125 $ <br /> (contract price) (minimum $50.00) <br /> 2. STATE SURCHARGE <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 to <br /> the customer for the work done. If any material, equipment, labor or installations are furnished by the <br /> 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 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 /> AG�E�IA�NY� <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in <br /> strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and <br /> certifies that all statements made on this application are complete, true and correct. <br /> 0Applicant's Signature: Date: <br /> Building Official/ Inspector: Date: <br /> Page 2 <br />
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