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� �' <br /> . �cv-15-1062 C8:16am from-CITY OF ORONO i9"2Z4G4616 T-�"E P.003/003 F-155 <br /> PE T F�� CAI.�ULATIO�'� <br /> �pp2 ��StzLv�� P Yes, This Secdon A plies <br /> The replacemcnt of a csi tial f'vc ' ce that meets all three of the following <br /> requirements: <br /> 1) p�,5 not r�quire m ' icarion electrical or gas scrvice. <br /> �) Has a cost of$500, o ess; xclu in tt�e cost of the fixcure or applia.nce: <br /> and <br /> 3} Is irr�proved, installed ar r p ced b� thc homeowner or licence� contractor, <br /> Skip next section; Cost of Perinii � 15.00 <br /> State Surcharge $ .SO _ <br /> il In Fee $ 1.SO_ <br /> Yf abave does r�t apply, follow guidelir�es below: <br /> 1. ContraCt��* is ,0125 °�c 4f}ob w•ith a Minimum Fee of(335.00) <br /> c�, i <br /> c����C(� _ x .0125 $ 3O�o• �5 <br /> (contract price) C��535.00) <br /> 2. State Surcha� ** Add the State Building Code I7ivision a (Minimum Fee of$ .50) <br /> �?�, ��v— �c .0405 $ I� •�`� <br /> {coatract pricc) (mini�u.�n$ ,501 <br /> 3, p (Only mail-in applications� $ � <br /> 4, TpTAY,pER.1�I'r FEE (Add lines 1-3 above) $ ��� • � <br /> * CONTRAC'I'PRTCE or JOB COST means tbe aetual or estimzced doUar aznounc char�ed fos thc permitted <br /> work includ'u�g m8terials,labor,profl:,snd or�.er flxed costs. It is thc amount to be c'�arged co che cus:omer <br /> for the work doae, If uiy macerial, eqn9pmenc,labor,or insxllauan are fivaishad by the owner, tenant or <br /> t�y othec pe�ry ine reasouable mHrkct vAlue of sucA items must bs added to the estimaied cost ar conua�t <br /> pri�x for penait fee pur�ses, In the event that there la a disgu�e on the amoum of tht job cas�,the Ciry may <br /> request the submission of a siEned copy of�e a.ctual eontrac[. <br /> *� 'Y'he STATE SURCHARGE is .00�5 of the conuaet price under$1,000,000 ar $.SO-whicxevor is �reater. <br /> For va]uado��s over$1,OOo,00U ca]1[be Deparc�,tai of Inspectioc Services for che prioe. <br /> 'Ihe undersigned her�by applies to thc City for issua.nce of a Plumbing Perrait, agrees to do all <br /> work in strict aeeordance with the ordinanccs of the Ciry and the regulatiocis of the State of <br /> Mi�mcsota, and certifies that all statements madc on this applicatioa are complete, true and <br /> correct. <br /> ' ��� Date:3 - <br /> Applicant's Signanu��Q, �� — <br />