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41u1-U3-2002 12:50pa Frora-CITY OF ORONO +9522494616 T-680 P.Q02/002 F-780 <br /> PERMIT'' EEE CAI.CI.ILATTON(S) <br /> 2002 Vote Statute 2 Yes, This Section Applies <br /> The replacement of a Residential fixture or valance that meets all three of the following <br /> requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500,00 or less; xi g the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licenced contractor. <br /> Skip next section; Cost of Permit $ T 15.00 <br /> State Surcharge $ <br /> Mail In Fee $ 1,SQ <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is ,0125 % of job with a Mini nun Fee of($3SAO) <br /> .� x .0125 $ — <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge, ** Add the State Building Code Division a (Minimum Fee of$ .50) <br /> x .0105 $ ._. <br /> (contract price) (in'ni ,uni$ .50) <br /> 3. pest ge and%I ndling (Only mail-in. applications) $ - 1,50 <br /> 4. TOTAL PERMIT FEE (Add lines l-3 above) <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including 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, equipment,labor, or installation art furnished by the owner, tenant or <br /> any other party the reasonable market value of such items must be added to the estimated cost or contract <br /> price for permit fee purposes. In the 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 contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.$0-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 application are complete, true and <br /> correct. <br /> Applicant's Signature: ,Aitir ,; ;,L��._ • _ Date: IZ/jlg <br />