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O�:t-20-2008 04:21pm From-CITY OF ORONO +9522494616 T-862 P.0�3/003 F-144 <br /> ! <br /> l � <br /> ' r ii:� . I��i{i l il���li � i�' �.d � 1� i �.Ir +� ! i `��� ��1 <br /> � i� �{+�!1 I !f I i�.Ij` j ry � 4�� :( '.I ( I, � � R � i,�:11 1 S 'y1 i fk i i i <br /> '�� � ���jl�l �r�I�j�� I f � ��! �1:G4 r1���,i �.�1„�. I. I I �.i� r n . %�'(IIAA.f�4.��� �I I �.�S�I !f li�$ I ���� <br /> � �r i 11. i i �S I 7 �� � i �i. <br /> ��,, �i�� u� T��i��l�q��{� � �� I��� � �� �a �., �,,tC i I �! i� �� �!�� ����{�(��.�)�� p(�i��� <br /> i <br /> �}rS7���n1���}��I�I��1f�(��j�l�����If���f ���,li����l�l�l��;i�����.i� �_��� ,��T � � . �?►;�l��li�l���l�'�I����1���n�i��t�lf�d�i����,�1�!�i���u.�,qlsla�; -���1r'I.�!�•��I'�` <br /> � Yes,this secrion applics <br /> '�lie replacement of u Reside tial fixnuc or appliance that meets all tluee of the followin�requirements� <br /> 1. Docs not requue modification to�lec�ical or gas service, <br /> 2. Has a tocal cosc of$�00.00 or less;excl 'n the cost of the fixnun or appliancc:and <br /> 3. Is improved,installed or rE�placcd by rhe homeov�+ner or licensed contraci��r. <br /> Skip nzxc section,if this applics; Cost of Pernut $ 15.00 <br /> State Surchaxge $ _50 <br /> Mail-In Fee(If AppliCable) $ 2.00 <br /> rotal permit�ee $ <br /> � � �' � I �� ,�I� � �,�i { <br /> (� f �r �:� <br /> j�,i�t 1 ' �.�� �I i �t .�'.� � .e IM k�lll�';�.U6��{��{I.,����.�il������{rl�il�i <br /> I <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of conrract price with a(Minimum�'ce of$50.00) <br /> 3C��b X_o�Zs$__ � •o� <br /> (conaac�pricc) (�ninimum SSO.UO) <br /> 2. STATF�Si1RCHnRGE "*Add the S�ate Bldg Code Div. SurchArge(M inimum lEee of 5.50) <br /> x.0005 $ • V� <br /> (COi11iACIp�iCd) I��iinimum$ .SO) <br /> 3. pOSTAG�&HANAL.ING(Only on Mail-Tn Applications) $_. 2.00 <br /> 4. '�QTAL PERMIT FE�:(Add�.ines 1-3 Above} $___._._�_ <br /> ■ "` CONTRACT PRICE or JO� COST means the $ctu&1 or Gsrimated dollar am��unt charged for the <br /> permitted work including materials,lAbor,profit, and othzr fixecl cosis. Tr is the anwunt to be charged <br /> to the customer for the work done. If any matierial, equipment, labor or installat,ons are furnished by <br /> the owner, tenant or any otl�er party, the reasonabie mArket value of such items rn►�st be added to the <br /> estimatad cost or con�racc price for permit fee purposes. in the event that ther� is a dispure on rhe <br /> Amount of the job cost, the City ivay requcst the submission of a signed eopy ol'thc actual contrsct. <br /> • **The STATE SURCHARGE is.0005 of che Building Departmznt a�(952)249-46QQ for tlie price. <br /> �1����f �����` I��i� ! �1�I � �inl��.` r � ,��� I �) �I.li Ih�I I� I. � i �'I�iU��� ���I�n ftl����1��� �� � <br /> fi ,i 1 �-i ti. I 31.. li.�i <br /> The undersigned hereby applies to t,he City for issuance of a Mechanical Pen�lit, a�rees to do ali <br /> work irt strict accordance with the ordinanczs of ihe Ciry and the regulatiuns of the State of <br /> Minnesota, and certifies thflt all statements inade on this application are {:omplete, true and <br /> correct. <br /> Applicant'>Sigttature: w �lV" � Date:�' t�� <br /> 3 <br />