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Feb-24-Q0�5 03:44pm Prom-CITY OF ORONO +g5224g4616 T-629 P.006/U06 F-513 <br /> R <br /> --- ._...,;.� Cp .�Z'YON(Sl <br /> �m��at�te St� ❑ <br /> Y'es, Thfs S�ctiuun ApF��s <br /> rhat meets all tbr�e of th� fallowi�$ <br /> T� rePlacem�x�� of a � cture r au� ' <br /> ��nt�: <br /> i� ��equ,ire modif"ication to clecta�ical ax�costRof the fixture or applian�ce: <br /> 2� Has a t t af$��4•� or less; ,�xclu�i� <br /> and <br /> 3� Is improved, installed or r�placed l�y the ho�:cowt�er or licenced con�ractor• <br /> �ip next section; Cost of Permit $ i ...� <br /> Sta�te Surcl�arge � � � <br /> �afl In Fee $ <br /> Lf above does not�.pply, fallow g�ti�����1�w: <br /> 1. �+"� i � is .0125 °� of job with a '� ��� <br /> � � , � .a�as � � i3 � <br /> ����� c,��ra�s. � <br /> , . e �� Add the S�ate Buildit�g Code Division a (11+�i�f�nu�Fee o�t'$ •50) � <br /> 2. StAt���� <br /> � �j l�°� x .oaos � ,�g . <br /> (concract price) (���� •�) <br /> � �pnly mail-i�.applicatio�s) � � <br /> �� pnats,,,«e.i� T'�'�,� <br /> T�� (Add lines 1-3 above) � <br /> 4, TOTA�I.•�� <br /> CT F�CE or 30�COST means the�tcr,ual or esd�aated dollaz amount����d <br /> # CONTYtA. �r� fiE,a�d other fixed costs. It is the�mount owuer,ten�at ox <br /> work i�ncludSa$�ierials�1ab P� ,��,l,abc►r,ar instaliauon ace furnishad bY t� <br /> for thc work doiue. If a�y maLerial,equ�p� <br /> e <br /> �y other PaxtY th�reaso�sble�e�value of sucb itema musto�t�amo�m of the�j'o�b�c.ocost�arCiry may <br /> price for p��c f�ee ptupos�S: ��eveaj that t�ete is a disl�u�e <br /> request the submissfou of a s�gaed coPY of rhe actusi�o�ac�• <br /> � T�he STATE SURCHARGE is.00�5 c�f tU�e���P�e�r$I,004,000 or $.50-�a�hicb�ever is greaxer• <br /> For valw�ttio <br /> ns over$�1,��������t of Yasp��ion Setvices tor ttie price. <br /> �r ��� of a Plu�bia8 p+�, aS�to do all <br /> Tbe ut�d,ersigned her�bp applies to tb.e�ity and t�e reg�lariot�s of t� Sta�te of <br /> woxk in scrict accordance with the ordinances of the City lete, tn�e and ' <br /> Mianesota, an�d <br /> cert'�fies that all statemcnts m�de on this apglicattion are com� <br /> cOrrect. �• � �� �� <br /> Applicant's Si,gaa�� <br />