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Mar-OA-2006 D1:57ps From-CITY OF ORONO +A51249d616 T-136 P-D�3/003 F-435 <br /> . <br /> • yyy��� � �V �I^'ilri'"� �j Ei t i � �1+� )p +� <br /> • ry��, i � } �'� � � .,. � �. '1 1 1 , �..�i 1�� � �� i �tf (1� �+ r j� f��y� <br /> ' h!(�"' h� ��(,�(„CA!��(''1��;�� `��1�� ` 4f��,�:"�,�f�,�ror � i'1 ' ..IIN�.. ,'�i�Jf.` ���/�j Ci�''►�I,{, �����' ��j�����-{� �h � ���1M4 <br /> }I, I 4' � � ` <br /> ,�`i�f� ���.'li���94j�,F1a.. �h:.4$i. .i �.,,� rt i� t.�.�r :��.t. f Y �!'. <br /> . � Xcs,this seccioa applies <br /> The replacement of a Residzntial fixnae or�ppl;a�c&thac meets all three of the folbwing rcquirements� <br /> 1. Does not requizc m�di5cation w elecIIieal or gas service. <br /> 2. Hus a cotal cosc of 5500.00 or less;excbidin rhe cost of the fixnn�e or agpliance:and <br /> 3. Is improved,installed or replaced by che homeowner or licensed conu-actor. <br /> $kip nex�secnon,if dris applics; Cost of pennit $ 15.00 <br /> State Surcharge $ ,SO <br /> Mait-In Fee(If wpplicable) $� <br /> 'Cotal permit Fee S �� - <br /> ''`' �':�,��+.;�'��° � :... . ..- � ':�''��!�?���. �i',"��t�',r�:�rr�;"��''Ir, <br /> tr,��� �'��`': " '� ".,� :��a'�a�r}�;,'�' <br /> Yf above docs not apply;follow guidelints below: <br /> 1. CONTRA►CT pRIC� 'i� 1.25°/a of contrac�prico wich e(Minimum Fee of 535.00) <br /> ,� — J � <br /> . � � �' x.0125 S � � �_.' y'/�� � ����,�� <br /> (contrut piice) (mini m 535. � <br /> 2. STA1'�SURCHAR�E '•Add the Stste Bidg Code Div. Surcharge(Minimum Fa oi S.So) <br /> '�� > X.D005 � r <br /> (conttat[pnce . (minimum S .SO) <br /> 3. POSTAGE&HANDL[NG(Only on Mail-In Applicatioms) S 1.50 <br /> 4. TOTAY,PkRN1YT FEE(Add T.ines 1-3 Above) s � �� ����' <br /> ■ � CONTRACT PRICE or IOII COST means the aecual or estimaced dollar amoun� charged foc thc <br /> pemvHod work including materials,tabor,profic,and otbez fiaced costs. Ic is rhe amount to ba eharged <br /> to The customet for tho work done_ If eny msterinl,equiprz�nt,labor or installarions sre furnished by <br /> the ow�r,unani or any other parry,the reasonable maikrt value of such iams must be added w rhe <br /> escimated cost or con�act price for permit fee purposrs. In the eveni that dierc is a dispute on che <br /> amount of the job cost,the City may reqnesc the submission of a signed copy of the acNal conaract. <br /> + **The STAT'E SLlRCHARGE is.0005 of thr Building Depermoenc ac(952)249-4600 for the price. <br /> �.(4i � .+ . •1!� . �� ��t�jP <br /> �.� ' .IIN�� '4�7�Y�' � �.. �1{,- ',.'�''F <br /> ,d(J�i. •.i.� ,x c . <br /> The undersigicd hereby applies to the Ciry for issuance of a Mcclaanical Pe-�mi[,agrees to do all <br /> woxk in srrict accordance with thc ordinances of the City and the regulations of the Srate of <br /> Minnesota, and certifies that all�statemtrtts made on tbis application are compleu, true and <br /> correct. <br /> `.' '' � Date: -� �� _ <br /> Applicant's Signaturt: <br /> 3 <br />