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• `�cv-ls�462 CB:liam f rcR-�ITY OF ORONO +O'2t4G4616 T-4!i P.003/OD3 F-166 <br /> pFUMrT Fx'.F. c�s�ULATIO\'(� <br /> � <br /> ����ta� ❑ <br /> , Thts Se.cdon Ap lies <br /> The replacemenz of a csi ntial fix � ce ihat meets all three of the following <br /> requirements: <br /> 1) p.�,�t r�quire modification o elecuical or gas service. <br /> 2) Has a co t of$500,00 0 1 ; �x�ludin the Cost of the fixture or applia.xe: <br /> aad <br /> 3) Is improved, installed o eplaccd b�' c homeowner or licenced contractor. <br /> Skip next section; C t of Permit � <br /> State urcharge $ •�0 <br /> Mail In Fee $ 1.50 <br /> Yf above does r.ot apply. follow guidelines below: <br /> 1. Cantra�t��* is ,0125 °k of job with a nim _Fee of(335.001 <br /> ���`��`c x .�125 $ �� � c�`7 <br /> (conu�aCt price) (miniuuzin 535.00) <br /> Z, � t ** Add ihe State Puilding Code Divisian a (Minimurn Fee of$ .SO) <br /> � ��r� x .0005 � l � � �� <br /> (contracc pzicc) (minimum$ .50) <br /> g, (Only mail-in applicatiions� $ <br /> 4. TOTAY.PER'VIIT FEE (Add lines 1-3 ebove) $ �C�?�5Z'� <br /> « CONTRACT PRICE or JOB COST uuaa9 tbe accua]or estiasnted dollu unounz chuted for thc permiaed <br /> work Includ'u�menectials,lxbar.protit,u�o�er fiued cosu. It ia thc amount w be c5arged to the cusromec <br /> for tbt work doae, if tay maceriai,eqnip�enc,labor,or insxliarion ue fumished by tiie owna,teni�aT or <br /> usy otber pvry tht rcasonablc market vAluc of such items must be added to the esdmauQ cost or conuact <br /> pria for penait fa purposcs, In thz e�ent th+�t Were la s dispuu on the amoum of the job oosc,the Ciry may <br /> request ihc submiasion ot►ci�ned cOpy oi tbe accusl contrac�. <br /> «w 7he STA7E SURCHARGE i� .00�5 of tha coAtraet price unde:51,000,000 or S.SO-whic�evtr is�reater. <br /> For valundor�s over S1,OOo,00�cslt�e �epar��°i of In�pecticm Services fer chc price. <br /> The undersi�n�d hertby applies to thc City for issuance of a Ptumbing Fer�mii, agrees to do all <br /> worY in �tr�ct aer.ordance with the ordinanccs of the Ciry and the regulations of the Suce of <br /> Iviinnesota, and cortifies that all staternenu madc on this application are complete, true a.nd <br /> contct. <br /> Applicant's Si�naairc:�'�'�,� �'/���� � � _Date: —l�� � <br /> . <br />