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'' Ncv-16'002 OB:Ieam From-CITY OF ORONO +8822464616 7-46E P.003/003 F-166 <br /> PERMIFE <br /> 3002 State Statute \O Yes, This Section Applies <br /> The replacement of a .esi•r-ntial fix t • • •• 't • that meets all three of the following <br /> requirements: <br /> 1) Dgesilot require m•.ification to el trical or gas service. <br /> 2) Has a Iptal cost of$500.00 or 1ess,t'excluding the cost of the fixture or appliance: <br /> and // <br /> 3) Is improved, installed o e.+:ced by the homeowner or licenced contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ �50 <br /> Mann Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Pig* is .0125 % of job with a l 11nimun3Jee of($35.001 <br /> Igoe x .0125 $ )5100 <br /> (contract price) (minimum$35.00) <br /> 2. Efiatelusharge,** Add the State Building Code Division a (Minimum Fee of$ .50) <br /> c2 gCO x ,0005 $ Li-to <br /> (contract price) (minimum$ .50) <br /> 3. Postage and Handling (Only mail-in applications) $ <br /> 4. TOTAL PERMIT k'Er: (Add lines 1-3 above) $ J�►4() <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 are 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 5.50-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 acc:ordance 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 Signatur; Date:/c <br />