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Jun-g-2402..11 16am F ram'C TY OP ORONO . <br /> +9522494616 T-413 P.003/003 F-264 <br /> rf`w i T E1 CQI�CYJL ,UOQ"(Sl <br /> Mitat Std ❑ Yes, This Section Applies <br /> The replacement of a Reside t'al fi re • a./lianc- that meets all three of the fallowing <br /> requirements: <br /> 1) Pos§iLLLA.require modification to electrical or gas service. <br /> 2) Has a total,cost of$500.00 or less; excluding the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licenced contractor. <br /> 15 QO <br /> Skipnext section; <br /> Cost of emit $ <br /> State Surcharge $ __—SQ <br /> Mail In Fee $ <br /> if above does riot apply, follow guidelines below, <br /> 1. Cqntract Price* is .0125 % of job with a Minimum Fee of($35,001 <br /> / r .S-0a - 6 x .0125 $ X31. 2- s <br /> ( ontract price) (minimum $35.00) <br /> 2. sNip t><rcharge. ** Add the State Building Code Division a (1Vlinimum Fee of$ .50) <br /> x .0005 $ 715 <br /> (contract price) (minimum$ .50)3. <br /> Postn2e an ifandlin (Only mail-in applications) $44 <br /> '4t TOTAL PERIT FF.,E (Add lines 1-3 above) $ ( 0 <br /> * CONTRACT PRICE or JOB COST means die actual or estimated dollar amount charged for the perinitted <br /> work including materials,labor,profit,and other fixed costa. It is the amount to be charged to the customer <br /> r the work done. If any material, equipment, labor, or installation are famished 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 SURCBARGE is .0005 of the contract price under$1,000,000 or $.50-whichever is greater. <br /> por 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 /> Minnettola, and certifies that all statements made on this application are complete, true and ,-- <br /> correct-,,, <br /> 41114400. <br /> 4.4411/1S? Date: <br /> Applicant's Signature: Pr .. � .,. <br />