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t � <br /> Ncv-15-20�2 CB:iBam frcR-CITY OF ORONO +D6224G4616 T-t6E P.003/003 F-155 <br /> � • ' • <br /> �E T F� +�CAL�ULATI4�T�S1 <br /> �pp2 5'�� StaLv�� ❑ Yes, his Secdon Applies <br /> The replacemcni of a si ntial fix that ts all three b: the following <br /> rcquiremeuts: <br /> 1) �.�5 require modification t electric or gas scrvice, <br /> 2) Has a cost of$500.00 or less, u in tte cost of the fixture or appliance: <br /> axid <br /> 3) Is itr�roved, installed ox repl d b�' c homeowner or licence:� contractor. <br /> Skip next section; Co of Persaii $ 15.00 <br /> State urcharge $ .50 <br /> Mail In Fee $ 1.SO <br /> Tf above does r�ot apply, follow guidelines below: <br /> 1. �antraCt��* is ,0125 °b 4f job with a Minimum Fee of(S3S.00) <br /> � e� � <br /> , � x .o12s � ��1�•��_ <br /> (c�ontracc price)^. (mi.uiaium 535.00) <br /> 2. St S a �* Add the State Building Code Divisi4n a (?Viinimuran Fee of$ .�0) <br /> f ��� <br /> �� � _ x .0005 $ I v� � �� <br /> (contract pricc> {minimum$ .50) <br /> 3, p (Only mail-in applications) $ �-- <br /> 4. TpTAY,pEit,'Y1IT FEE (Add lines 1-3 above) $ ��� • �� <br /> * CONTRACT PR10E or J�B COST mean9 the actual or estimated dollar ainounc char,ed fo:thc permined <br /> work includ'us�matErials,labor,profi:,And os�er tlxed eosts. It is thc amount to be e�arged to the cus:omac <br /> for the work done, If tuiy macer�al, equipmcnt,labor,ot iuszuliation are Turaishad'ay tae owner,cen�rit�r <br /> a�y otber patry the reasonablc market vAlue of such items must be added to the estimaced cosc or conuact <br /> pricx for penait fa pur,�oses, In the event thxt Were ta a disQu�e on the amoun�of the job cos�,the City may <br /> request the nabmiasion of►aiYned copy of�e accual contract. <br /> +� 'fhe STA7E SURCHARGF is .0005 of tho contract price under$1,000,000 ar �.Sa-whicl:cvcr is�reater. <br /> For valusiia«s over$1,000,000 cs)1 tbe beparcLneni of Inspc:ctior.Services for rhe grioe. <br /> The undersigned hertby applies to thc City for issuance of a Piumbing Permii, agrees to do all <br /> work in strict accordance with the ordinanccs of the City and the regulations of the State of <br /> Miimcsota, and certifies that all sratemenu madc on this application are complete, true and <br /> correct. <br /> � �_ <br /> Applicant'sSignaouc� C� - � Daie: -�/ <br />