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D M.-14-2004 02:31we From-CITV OF ORONO +g522dA4616 T-310 P 002/002 F-568 <br /> , I <br /> PERMT FE� CALCULATIONL51 � <br /> 2002 tate S atut ❑ Yes, This SeMion Applies � <br /> The replacemenc of a Residential fixture or a liance that meets all three of the followi.ng j <br /> � <br /> requirements; <br /> I <br /> 1) Does �oc require modification to electrical or gas service. � <br /> 2) Has a total c ct of$500.00 or less; excludin�the cost of the fixture or appliance: j <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licenced contraccor. <br /> Skip next section; Cosc of Pemut $ 15.00 <br /> Scate Surcharge $ • � <br /> Mail In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> �� i <br /> 1, ontr ct Price* is .0125 % of job with a Minimum Fee of($35.001 �� --- <br /> i <br /> �'�°�x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State urch rge. ** Add the State Buildiag Code Division a (Minimum Fee of$ .50) <br /> �2r��C� x .00OS $ � � <br /> (contract price) (m��$ ��� <br /> 3, Pos�t ge n� d��ndlin� (Only mail-in applications) $ 1.50 <br /> � . <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ �� .—� <br /> * CON?RACT'PRICE or 10B COST means me acNel or�s�'vmated dollar amounc charged for the permitted ' <br /> work including aaa�erials,labor,p�ofit,and other fexed costs. Yt is the amounc[o be charged�o the customer <br /> for the work done. If any material,equipment, labor,or ins�eilatios►are furnished by the owner,tenant or i <br /> any other parry the reasonablt mazket vtilue of such items musc be add�d to the estimated cos�or contract <br /> price for permit fee purposes. In�e even<<hat there is a dispute on[he amouat of tho job cosc,the Ciry may <br /> request the submission of a signed copy of the actual contract. <br /> ** 7he S7ATE SURCHARGL is.0005 of the contract price under 51,000,000 or 5.50-whichever is greater. <br /> Eor valuations over�1,000,000 eall the Deparcmenc of Inspeetion 5ervices for ihe priee. <br /> The undersigned hereby applies co the City for issuance of a Plumbing Permic, agrees to do all <br /> work in stricc accordance with the ordinances of the City and the regulatiotu of che State of <br /> Minnesota, and ceni�es chat all statemencs made on this application are complete, crue and <br /> correCt. � <br /> Applicant's Signature: _ Date: <br /> �a-- 3 b �� � ' <br />