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Oct-04-2001 09:08�m From-CITY OF ORONO +A5Z2dA4616 T-182 P.004/004 F-452 <br /> � . <br /> � � <br /> �ERMIT�'EE CAY.CULATION(S) • <br /> 2UQ2 State Statute ❑ Yes Thi�Section Applies ' <br /> The replacement of a Residential fixture or appliancc that m�cts all three of the following requirements: <br /> 1) Does not reguire modification to aleetrical or gas service. <br /> 2) Has a total cost of$500.00 or less;excludinc the cost of the fixture or appliance: <br /> � <br /> and ' <br /> 3) Is i�nproved, installed or reptaced h3�the homeowner or licensed cona�actor. - <br /> Skip next seetion; Cost of P�rmit $ 15.00 <br /> State Surcharge$ �.SO <br /> Mail-In Fee $ 1.�0 <br /> If above does no[apply, follow guidelinas below: <br /> 1. Contract price* is .0125%of jab with a Mini�num Fee of($35.00) <br /> ��S.vV x .0125 $ `7 <br /> (contract price) (minimum 535.00) - , � <br /> 2.State Surcharee. *'� Add the State Building Codc Division a Minimum Fee of(S .SOI <br /> �a�s, � X.000S � a.� � <br /> (conttact pticc) (minimum$.50) <br /> 3.I'ostagc and Flandling(Only►nail-in applications) �a 1.50 <br /> 4.TOTAL PERNIYT FEL•' (Add lines 1-3 above) $ V/ <br /> •CONTRAC'f PRICE ur JOB COST mtans thc sctual or atimated dollar arnount chsrgcd for the permincd work including <br /> mnttrials,labor,profit,and ocher 6xed costs.It is the amount�o be chnrged to thc eu��omer for the work dona.If any material, <br /> equiQment,lebor,or in�tallacion iy fumisfied by the ownu,tcntlnt or any athor parry thc rtasonable markt[vnlue of such items <br /> must bc oddad to thc estimaced cosi or contraa price for permie fce purpases.Ia the event that th:re is a disputc on chc r.�nou,[of <br /> th�job cost,the Ciry may requtst the submission of a signed copy of the accual concrac�. <br /> "•Tht$7ATE SUILCHARGE is.00OS of thc contcact pricc unGer 51,000,000 or S.iO-whichever i3 greuter. For valuacions ovcr <br /> S1,000,000 eall Ihe DcpuRmenc of(nspectional Services for tht price. <br /> "Che undersigncd hereby applies to the Ciry for issuonce of a Meehanical P�rmit,agrecs to do ali worlc in SRic[accordanee with <br /> [he ordinonces oFthe Ciry aed the regulaeions of the Minnesote Sentt Buildin�Code,end ecRifies that all nutzments madc on[his <br /> upplication ete complete,true and coaccL � <br /> Applicant's Si�nacurc: "�-'� r v ��•�x Date: <br /> Approved By: Date: <br /> s <br /> 3 <br />