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Oct-03-2005 10:49am From-CITY OF ORONO +g522464616 T-606 P.002/002 F-483 <br /> : . <br /> � ' r <br /> a �i <br /> Ir � <br /> � Yes,this sacuon applies <br /> The rcplacement of a Residential fixture�r appliance that rneeu all thrce of ihe following requirements: <br /> 1. Does nnt require-modificarion to elec�ical or�as servicz. <br /> 2. Has a tot l cos of$500.00 or less;excludine rhe cost of che fixnue or appliance: and <br /> 3. Is improved,install�d ur replaced by the homeo�wner or licensed conu�actor. <br /> Skip next seccion,if rhis agplies; Cost of Permit $ 15.00 <br /> Stat�SurchArge $ .50 <br /> Mail-In ree(If Applicabin) $ 1.50 <br /> Total Permit�ee $ <br /> � <br /> M �! � .I. �1 <br /> If Abov�does not apply;follow guidelines below: • <br /> 1. CONTYtACT PRTCE �is 125%of con�ract price with a(Min�mum Fee of 535.00) <br /> __ � x.0125$__��J !.� <br /> {p nrract price) (minimum 535.00) <br /> 2. STATE SURCHAR,C.E '�*Add the Star,e Bldg Codc Div. Sutcharge(Minimum Fec of$.50) <br /> � Q� x.00OS $ � <br /> OnirnCi priC2) (nnnimum S .50) <br /> 3. POSTAGE&HANDJ ING(OiilY on Mail-In Applicarions) $ 1.So <br /> 4. TOTAL�ERMIT�E�(Add Lines 1-3 Above) � ��� �� <br /> • * CONTRACT pRIC� or 708 COST means the actual or estimated daUar amount charged for �he <br /> pernut�ed work including rnaterial5, labor,prafi�, and oiher fixed cosu. lt is the amount to be charged <br /> to the customer far ehe work done, If any material, equipmeni, labor or installauons arc furnished by <br /> the owner, tenant or any other party,the reasonsible m�,rkzt value of such items must be added to ihe <br /> Csumated cost or contract price for permic fee Pu�pOses. In rlie event that there is a disputc on th� <br /> am�unt of the job cost, the City may request r1�e submission of a signed copy of the actual copaaet. <br /> • **'I'he STATE SiJRCI�ARGP is.0005 of rhe Building Departm�nc at(952)249�600 for the price. <br /> , , � i <br /> , ,, , <br /> �n [ <br /> The undersigned hereby applies co the City for issuance of a Mechanical Permit, agrees to do all <br /> work in saict accordance wiriz the ordinances of rhe Ciry and the regulations of the State of <br /> Minn�sota, and eemfies that all statzrrient� made on this applicarion are complete, irue and <br /> correct. <br /> Applicant's Signature: Aare: ,��'3"'��� <br /> 3 <br />