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4 - Jul-O3-2002 12:5Ops From-CITY OF ORONO +9522494616 T-560 P.O02/002 F-780 <br /> • <br /> 2002 &ate st� Yes, TWs Secdon Applies <br /> The replacement of a &Aidogal fixtu tor ARglince that meets all tht:ee of the following <br /> requirements: <br /> 1) ,Roes not require modification to electrical or gas service. <br /> 2) Has a JgW toy of$500.00 or less; ,Mrd the cost of the fixture or Appliance.- <br /> and <br /> ppliance:and <br /> 3) Is improved, installed or replaced by the homeowner or ficenced contractor. <br /> Skip next section; Cost of permit $ _ 15.00 <br /> State Surcharge $ _,,50 <br /> Mail In Fee $ <br /> If above does not apply, follow guidelines below: <br /> 1. Con, , * is ,0125 1 of job with.a Ml mum Fee .001 <br /> . x: .0125 $ <br /> (contrmut pricks) (minimum$35.00) <br /> 2. &W Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) <br /> _ x .0005 $ <br /> (contract price) (mimraum$ .50) <br /> I� <br /> 3. Po.Qtaee and Lbolin$ (Only mail-in applications) $ 1,50 <br /> 4. TOTAL PERMIT FEE (Add limes 1-3 above) $ <br /> * <br /> CONTRACT PRICE or 708 COST means the actual or estimated dollar amount charged fbr the,permitted <br /> wort iaciuding materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer <br /> for the work done. If any material, equipMME, labor,or installation are furnished by the owner, tenant*1 <br /> any other party the reasonable market value of such items must be added To die estimated cost or contract <br /> price for permit fee purposes. In rile event that there is a dispute on the amount of the job cost,the City may <br /> request the submission of a signed copy of the actual coutract. <br /> ** The STATE SURCmARGE is.0005 of the contract price under$1,O00,000 or $.50-whichever is greater. <br /> for valuations over$1,000,000 call the Department of Inspection services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota., and certifies that all statements made on this applications are complete, true and <br /> correct. <br /> L <br /> Applicant's Signature: Date: P//Z e <br />