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<br /> 05/07/2010 09:58 7635311801 DEANS TANK INC PAGE 04
<br /> May-06-201'D 12:52pm From-CITY OF ORONO +0622404816 T-233 P.003/003 F-022
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<br /> (] Yes,this section applies .
<br /> The replacement of a$eBiriOntiall fixture or appliance that meets all three of the following requirements:
<br /> 1. goes not require modification to electrical or gas service.
<br /> 2. Inas a total cast of 5500.00 or less;exaltgtlpg the cost of the fixture or appliance;and
<br /> 3. Is improved,installed or replaced by the ttlnaoeowner or licensed contractr,r.
<br /> Sidp next section,if this applies; Gist of Permit S 15_00
<br /> State Surcharge $ .50
<br /> Mail-In Fee(If Applicable) $ 2.Q4
<br /> Total Permit Fee S
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<br /> If above does not apply;follow guidelines below:
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<br /> 1, VOOO4NTRACT PRICE, *is 1.25%of contract price with a(Minimum Fee of$50.00)
<br /> ',.2I-SO. (7----t x.0125$_
<br /> (comvct pncc) I minimum$50.00)
<br /> 2. STATE SURCIfA$GR "'Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50)
<br /> x.0005 $
<br /> (con'raet price) 'minimum S .50)
<br /> 3. POSTAGE&HANDLING(Only on Mail-Liu Applications) $_. 2,00
<br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_,
<br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
<br /> permitted work including materials,labor,profit, and other fixed costs. It is the amount to be charged
<br /> to the customer for the work done. If any material,equipment, labor or installations are furnished by
<br /> the owner,tenant or any other party, the reasonable market value of such items must be added to the
<br /> estimated cost or contact price for permit fee purposes. In,the event that there is a dispute on the
<br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract
<br /> ■ r' The STATE SURCHARGE is.0005 of the Building Department at(952)249.4600 for the price_
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<br /> The undersigned hereby applies to the City for issuance of a Mechanical 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: _ /e/ _ Date: /71,-,-t, G
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