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� _ �Nov-15-2002 06:18am Fram-CITY OF ORONO +9922404616 T-466 P.003/003 F-166 <br /> �:��,,n►��+Tr C�'r.r�dTIQN(S1 <br /> �.�t�,�_S�g Ye�, This Secdon Applies <br /> The raplacement of a i that meets all three of the foilowing <br /> rcquirements: <br /> 1) �,�45 rtquixe mvdi i tion electr�cal or gas scrvice, <br /> 2) Has a wtal cost of$500. ess; excludin¢thc cast of�he fixcure�r appliancc: <br /> aad <br /> 3) Is improved, installed. re d b� thc homeowncr or licenced contractor. <br /> Skip next scctio , Cost of Pertaii $ 75.� <br /> State Surchar�e $ .SO _ <br /> Mail In Fee $ _ 1.50 <br /> Yf above does no apply, follow guidelin�es below: <br /> 1. CautrsCt��g* is ,0125 % OP job with a ��rmum Fee of�S3SA0) <br /> ��'1. �ni� x .o12s � 593•'1� _ <br /> (coatraCt ptice) +(minimum 535.00) <br /> . Z, ate S�h$�, ** Add rhe State Building Coda 17ivision a (M�nimum Fee af$ .54� <br /> � °D x .0005 $ �,°S��__ <br /> contract price)� (miaimu�l$ .50) <br /> 3, Po�e andBs�� (Only mail-in�pplications) $ _��, <br /> 4. T4TAY.PERMIT BEE (Add lines 1-3 above) $ �i�•SD <br /> * CONTRACT PRYCE or JQB COST zueaas the aCcua►or estimated dollar amounc char�ed for thc permined <br /> wark includis�m�terials,labor,proflt,and o�.er tkad costs. Ic is thc amount to bc c�arged co che cusromar <br /> for tbt work doae, IP�uy macerial,eqnipment,lebor,or iusiallation�ro�ucaished by tke awaer,ten�t or <br /> aay ott�ex pa�ry chc reasonablc markot vAlue oF such items must ba added ta thc estimaced cosc ar contract <br /> price for pennit fa purposes. In the event that�ere ls a dispuu on�amonn�of the jab oosc,tho Ciry may <br /> rcque�c the submiesi,on o!a si�ed aopy af d�e aaual co�uacc. <br /> wK 'fhe STArE SURCHARGE is .OW3 of tho coAtr�et pcice uader$1,Q00,000 ar $.30-whichevor is greacer. <br /> �or vt�uadotts over$1,000,000 cali the bepareme�of Inspecci�on 9ervices for rhe prica. <br /> The undersi�ed hereby applies ta the Ciry for issuance of a Piumbfug Perrait, s$rees to do all <br /> �rork in strict acc:ordance with the ordinances of the City �u3 the regulations of the Stat� of <br /> Minnesota, and certifies that all statEments made oa this apglicadon are complete, true aad <br /> correct. <br /> Appltcant's Sig�awr�i��;n,►.� �i�� Date: _ -r�- .�.� � <br />