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��y-23-2002 i2:45pm Frrnr{ITY OF ORONO +p6224C4616 T-310 P.002/002 F-D53 . <br /> .� <br /> � � <br /> �Fn�rrr � cai,cv�►�arres� <br /> 2002 �LA±A �fA1'flfP ❑ Y�, T� s�tioa App�� <br /> The replacement of a Residcrnial fixture ar. applia�ce that meeu all three of the followiag <br /> rcquiremenu; <br /> 1) Docs not require modification to electrical or gas service. <br /> 2) Has a total cost of$SOd.00 or Icss; e c di the cost of tho fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or l�ceaced cozuc~actor, <br /> Skip ncxt scction; Cost of Permit $ _ 15.b0 <br /> Statc Surchargc $ .�0 <br /> Mai1 In FeE $ 1,50 <br /> Yf above does not appty, follow guidelin,cs below: <br /> 1, �ontra�t �s�* is .0125 � of job with a �mum �'ee of (�35.001 <br /> ► ��c�`� x .4125 $ ��� <br /> (coacract price) (�ini.�num$35.00) <br /> 2, Statp CnrrharvP �* Add the State Building Code Division a (Minimum �'ee of$ .50) <br /> O �� <br /> � � X .OWg $ . 5 <br /> (coruract price} (minimum g .50) <br /> 3. Po� and T�1andli� (Only rnail-in appl'�^ations) $ 1„�g <br /> 4. TpTAIr PERNIIT FEE {Add lines 1-3 above) $ ��� �5�' <br /> * CONTR4CT PRICE o:]OB C�ST uieans tha actual oc cs�imated dotlar amounc chargai for thc permittcd <br /> work including materials,labor,proflt,and other fixed cosq. Ic is the arnoun�to be eharged to che custom�r <br /> for�he work done. If a�y ms.cerial, equipmeryt, labor,or instilation ue furniahed by the owaer, tenant ar <br /> any otbe:party the reasonable market value ul auch iums must be add��o the estimat,.^d cast ar contract <br /> price for permit fct puc'peses. Cn the evenz that there is a dispute on the amoaut of the job cost,the Ciry uiay <br /> reques�the submis9ioa of a signed copy of�acnial�ontract. <br /> �+ The STATE SURCHARC3�ls .0003 of the coauact yrice undcr Ta1,000,000 or $.50•whichever is greacer. <br /> �or valuatious ovcr$1,Od0,000 call tha Department of iaspecaan Sarvices fcr tha price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Pcimi.t, agrees to do aiI <br /> work in strict a.ccardance with the ordinances af the City aud the regulations of che Sta�e of <br /> Mi.nnesota, a�d certi�ies that all stataments made on this application are complete, true and <br /> corrcct. <br /> A licant's Si ture: �� Dace: ��`�'��� <br /> PP 8� <br />