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� • <br /> pcc-04-2002 OA:OB�m Froa�-CITY OF ORONO +9522dA4616 T-182 P 004/004 F-452 <br /> '�r <br /> pERMIT�'EE CALCULATYON(S) <br /> ^^ c•�•� Statute ❑ Yes This Sect�on Applies ' <br /> ���_ _ <br /> Thc replacement o€a Residential fixt�rc�r-nw.��Ance that mccts all three of the following requirements: <br /> 1) D�es not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less; excludinc the cost of the fixture or appliance: <br /> and <br /> 3� Isi�cnproved, insralled or replaeed hy the homeowner or]icensed conu�actor. <br /> Skip next section; Cosi of Permit � 1 5.00 <br /> Stnte Surcharge $ �.50 <br /> Mail-In Fee $ 1.�0 <br /> If Ahov� �oes noc��Niy, foilow guidelines below: <br /> 1. C�ntract price* is .0125°/a of job wich a Mini�num Fee of($35.00) <br /> — �' �'�_i� � .o�zs � ��: 35 <br /> (con�ract price) (minimum S3S.00) , <br /> 2.State Surcharge• *'� Add the State Building Codc Division a Minimum Fee of f� .�Ol <br /> � ��-( j x .0005 $ ,�� <br /> (contract pricc) (minimum$.50) <br /> 3, postagc and HandlinQ (Only rnai!-in applicafions) � 1.�0 <br /> 4.TOTAL PE'RIVIIT F�E (Add lines 1-3 ahove) S �I +�� _ "�j <br /> •CONTRACT PRtCE or JOB COST mtans thc actuai or esti;a�t:�d�iotEar amount chargcd for the permittcd work including <br /> mn�zrials,labor,profit,and othtr fixed co��s. le is the emount to be chnrged to thc cu�tomer for thc work done.If any maLerial, <br /> equipment, labor,ot inscni!a�ior.is fu:,^„sR•a by the owner,tcne.nt or any other v�y thc r.�sonable markz[vnlue of such items <br /> must bc uddtd to tAt tstimatCd cost or conuacc price for permit fce purposes.In the zvent thal thtre is a dispuce on the amount oi <br /> [h�job cost,ehe City may requtSl the submission of a signed copy of the acn�nl conaacc. <br /> "'Tht S7ATE SLA�CHAKGE i�.00OS of thc con[roct prica unGer S1,000,000�or 5.50-whichever is grenter. For valua�ionz ovcr <br /> 51,000,000 cslt the Dcportmrnt of[nspectional$ervices for the price. . <br /> The undetsigncd ht�eby aQplies co the Ciry for issunr+ce of a Meehanicai Ptrmit,agrccs to do ali wor4c in SRict accordanec with <br /> �he ordinpnces ofd+e Ciry and the regula�ions of the Minncsotn Smta BuildinY Code,nnd ccrtifies that nl!scntcmen�s madc on this� <br /> opplicssion ere comPlece,true and correcL <br /> pPplicant's Si�acurc: <br /> ��� �JZ Date: `f� �� ' <br /> Approved By: Dace: <br /> 3 <br />