2004-P07256 - mechanical - Laserfiche WebLink

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Fsb-18-2004 02;44pm From-CITY OF ORONO +8522484616 T-809 P 005/005 F-O78 PERMYT�EE CAL��3LATI�S�, � 2002 State Statute ❑ Yes Thls Section Applies The replacemcnt of a Reaidential ft�ctnze or appliance that meets al!three of the following requirements: 1) Does not require modification to electrical or gas service. 2) �ias a total cost of$500.00 or less;excludine the cost of the fixiure or applian�e: and 3) Is improved,installed or replaced b�thehomeowrterot lic�sed contractar. Skip next section; Cost of Permit $ 15.OQ -� Statc Surcharge$ .SO Mail-In Fee $ l.5� If above does not appl�,follov�g�ic�e}ines be}ow: l. Contract Price''is.0125%of job with a Minimum Fee oi($35.00) oC� O�J r� �.Q125 � J�.O'C� feorttrnct price) (minimum 535.00) " 2.State Surcharge. '"*Add the.$ta1�8uilding.Code.Division�1klinimusp Fee o#'f�.50) o v x .000s $ �_ C�v - (contract price) (minimum S.50) ' 3. PostaEe and HandlinQ(Oi:ly mai!-irt applicatroc�s) $ 1.50 4. TOTAL pERMIT FEE(Add lines I-3 above) $ � �, �1 •CONTRACT PRICE or JOB COS7'means the actual or esTimated dotlar cmounc chargtd fnr tht pctmiAed+uork including macerials,labor,proHt,and other fized cost�Jt is theamount eo�cftatgcd to-t{tecustornerpor thcwprk danr;Tf any mAterial, equipment,labor,or instetlation is fumished by the owTier,tcnant or soy other party the reazonable m3rkd value of such items -' must be added to the estimated cost or eonnact price for pertnic t'rc Qurpocts,In the evtnt that there is a dispuce on the amountaf the job cost,thc Ciry may ttqucst chc submission of a signed copy of tht actunl conhacr. ••'llte S?ATE SURCHARGEis.II00S-otthacoauaet price underSF;A06,ppf}orS.59--a•hicttever is grdaitr,For valuations over S 1,000,000 cell che Department of Inspeccional Services for ehc price. • Tlte undersigned htrtby applies ta tha Ciry for issuanee of a Mec6enicalPettnit,agrces.to-do all�vork in strict eccordance with-- the ordinanees of thrCityand the regulacions of the Minnesota State Building Code,a�d cenifies that all statcments made o�this spplicasion are compiece,true and corrtet. ;`X'�.: ApPkcar►c's Signaturc: Date: ��2C� �G Approved By: Ilate: 3. _.