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Oct-04-2002 08:08am From-CITY OF ORONO +9522494616 T-162 P 004/004 F-452 <br /> . <br /> pERMIT�"EE CALCULATION S <br /> 2002 State Statute ❑Yes This Section Applies <br /> "Che teplacement of a Residential fixture or appliance that meets all three of the following requirements' <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a tota) cost of$500,00 or less;excl�the cost of the ftxture or appliance: <br /> and <br /> 3) Is improved, insralled or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> Stflte Surchar�e$ .SO <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. C�ntract�rice* is .0125%of job with s Minimum Fee of($35.00) <br /> � a.,� <br /> �'�} ��,,�;.;_x .0125 $ ; � <br /> (contrnct price) (minimum 535.00) <br /> 2. State Surchar e. ** Add the State Building Code Division a Minimum Fee of($ •50) <br /> �I���-�� ��� x.000s � a.�-i-� <br /> (contract pricc) (minimum S.50) <br /> 3, posta�c and Flandlin (Only�nail-in applicalions) $ 1.50 <br /> $ r J <br /> 4.TOTAL P�RMYT F��(Add lines 1-3 above) ' <br /> •CONTRACT PRICE or JOB COST mtans thc ac[uel or estimatcd dollar amount chargcd for che perrr►ittcd work including <br /> muterials,labor,profic,and ochzr fixed costs.I�is chc amount co be charged to thc cus�omer for the work done.If any material, <br /> equipment,labot,or install�iion iy fumished by lhe owner,ecnant or any other parry chr rensonable markt[value of slich items <br /> must bc odded to the estimatzd cost or conirac�prict for permit fce purposes,In ihe evenl thet tht�e is a disputt on the amount of <br /> th�job cost,the City m��y requCst the submission of a signed copy of the a:tue�cer.:roct. <br /> ""The S7ATE SURCHARGE is.0005 of thc contract pricc undtr S1,000,000 or S.SO-whichever i3 greutef.For valutl[ions ovcr <br /> $1,000,000 call She Dcpnrtmen[of Inspectional Services for tht price. <br /> The undersigncd hereby uppl�es to the Ciry for issuance of a Meehanical Permi[,agrccs to do all work in strict accordance with <br /> the ordinances of the Ciry And the regula[ions of[he Minnesota Stata Building Code,and ecrtifies ihat sll nutemenis madc on this <br /> ppplication are complete,ttve and correct. <br /> � <br /> �;���� , �, , � ,{ , <br /> , , -��_� Date: � � <br /> Applicant s Si�t►acure: <br /> Approved By: Date: <br /> 3 <br />