2004-P07608 - mechanical - Laserfiche WebLink

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. �ar-.10-2004 03:04pm From-CITY OF ORONO +9522494616 T-899 P.003/003 F-339 ,� . PERMIT�'E� CALCiTLATT�N(Sl 2002 State Statvte ❑Yes Tliis Section Applies � The replacement of a Residential fixture or appliance thaf ineets all three of the following requirements: 1) ]�oes not require madification to elechical or gas service. 2} Has a total cost of�500.00 or less;exctudin�the cost of the fixture or appliancc: and 3) Is improved,ins2alled or replaced by the homeowner or licens�d contractor. Sldp next sectior�; Cost of Pemut $ 15.00 � State Surcharge$ .SQ , Mail-Yn Fee $ 1.50 . If above does not apply,foltow guidelincs below: 7,. Contract Price*is .0125%of jab with a 1Vlfnimum Fee of(535.001 U �v'i_,%. v x.0125 $ jE•'� �� (contract price) (minimum$35.00) 2.$tate Surcharge. '�'�Add T.he State Building Code Aivisiob a Minimum Fee of($ .50� � � `.��;` � x.0005 $ � . � �' (contract price) {minimum$.50) 3.Post�e and Handlin� (O,rly mail-in applicariorls) $ —�59--° 4.TOTAL PEYti�ITT FEE (Add lines i-3 above) $ �� ;�'" . w CONTRACT PRICE or J0�COS'T'means th�aetaaI or tstimatcd dollar amount charged for the pernutted work including matetials,labor,profit,'and o[het fixed coscs.1t is the amount to be charged to the customer for the work docte.Tf any material, equipmertt,labor,or insrallarion is furnished by the owner,tenant or any other party the reasonable mar&et value af such items must bc addtd to dte estlmated cost or eonttaet priee far permit fee pqrposes.In the event that there is a dispucc on the amount of the job cos�,che Ciry may requesr che submission of a signed copy of the aetual eonR�et. '•The S'I�ATE SURCHARGE is.0005 of the contract price nnder S 1,OOO,U00 or$.50-whichever is greater.For valuations over $1,000,000 caIi the Department of Inspectional Services for the price. 'I`he undersigncd hcrcby applies to the Ciry for issaanee oEa Mechanical Permit,agrees to do all work in strict accordance with [he ordinances of the Ciry and[he regetlations of the Minnesota State�uilding Code,artd eer[ifies that a11 sta�ecrten�s made on this application are corr�letc,true arld correct. Applicant's Sig'iature: I�ate: � Approved By: Date: 3