Laserfiche WebLink
Feb-24-2005 U3:43pm Fro�-CITY OF ORONO +0522494616 T-629 P.004/006 F-513 <br /> .�� - . <br /> w RMIT�E C'.AL�TION <br /> 20Q�$t�t�$tatute [�Ycs Thjs SecXlon Apglics • <br /> The replacement of a�p°s������e°T�liatuce that xaeets all three of the foAow'sxt�xequirements: <br /> �� p o require madiScation to eleclaical or�s serv�ce. <br /> �,� �a � ast of�504.00 or less; c i the cast of the fixture az appliance: <br /> and <br /> 3) Is imprbv�d,installed or repla�ed 6y the homeowner or lic�nsed contractor. <br /> Skip next sectio�n; Cost of Permit $�,.,,,,, 15.QQ __ <br /> State Surchazge$!_Q , <br /> Mail-�Zi Fee �� 1.50 �, <br /> If above does not apply,follov�r guidelir�es below: <br /> 1. Coatr�ct price*is,U125%of job with a in�mnrn'�'ee af(�35.OQ) <br /> � +bb �.OI25 $^ 2-Lv �, � � <br /> (cont�att price) (mini�rnuct�35.00) <br /> 2.St.�#e Surcl�a r�°'��dd t�e 9tate BuildiYtg Code}�ivision a Minimum�Fee Q� .5 � <br /> D ,l6 <br /> �,���C.0005 $ 1 I� <br /> (connact price) tctuntmttm�.SQ} — <br /> 3.�i„�,ta�e and Handl�(Only mail-iu appl�eatians) � _,�., — <br /> 4.TOTAY.P��tMTT FE�(Add lines 1-3 abave) � <br /> D �� . <br /> s CQN'I'RpCI'p�tICE or JOS CC1S'T rr+�ans che at�ual or estimated dollet amount chacged for tlte per�uuad�rork including <br /> mateti�ls,labor,pro�c,And other fixed eosts.Ic i9 the amount to 6e charged to rha customsr for the work done.If ef►y maODTial. <br /> equ{pmait,isbor,oc i�ll�tion is fi�cnished by the owner,�enaet or any ocl�er psrty dte ce�anabta market value of su�h items <br /> �ust be add¢d�o the egci�ated cost ot Coh�t price for permit faa purposas.In the evrnt�hac ehr.re is a dispace aa the acc�o�cu of . <br /> �t ja��ost,tk►e City rnay reqaest tt►c submission of a signed copy of the actus!wnnact. • <br /> +'*The STATE SU�CCL�ARG£is.0445 of thm contratt priee undtr 51,000,004 or 5-50-whicltever is greater.For valustions over <br /> $I,D00,000 call the}aepartment of Inspectionat Servicas for the prico. <br /> The undetsigned haeby�pplies to thc Cily for iesuance of a 1Vlechanical Perrnit,agraes to do all work irs shict e�oo�nce with <br /> tht otdirtances af t}►e City attd�e regalatiens oithe Minnesota Sr�e Buitding Code,and certifies that all statamenls made on this <br /> applicatioa are eo�le�e,erue ar►d correcG. <br /> lq 1ican�'s Signature: Date:� <br /> Pp <br /> Approved By: Date; <br /> 3 <br />