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D�c-04-2��2 1��1Tpm Fram-CITY OF ORONO +9522404616 T-561 P.006/006 F-412 <br /> i <br /> 7 • <br /> ��� .. ,s . <br /> �' 4 <br /> E CULATION� <br /> 200 te Statute ❑ Yes Thi�Section Applies <br /> The �aCement of a Residential fixturr or_a�pliance that meets all three of the following requiremenu: <br /> � <br /> 1) �;nat require modification to electric�l or gas service. <br /> � ' '� 2) Has a toral cost of$500.00 or lcss; excludine the cost of the fcxture or appliance: <br /> � <br /> j �� <br /> � 3) Is improved, installed or replaced by the homeowner or licensed eontractor. <br /> , <br />�� 1' Slcip next section; Cost of Permit $ 15.00 <br />� '� Staze Surchar�e$ .50 <br /> Mail-In Fee $ 1.50 <br /> � <br /> If abc�v�does noc apply, follow guidelines below: <br /> ;, l. Cbntract Price* is .0125% of job with a Minimum Fee oi($3s•ool � �� c, <br /> � � �� ��� x .0125 $ � '-' <br /> � , <br />�.: � (contract price) (minimum$35.00) <br /> i. <br /> 2. S � Surch e. ** Add the State Building Code Division a Minimam Fee of(S.501 <br /> ;� ,�' '����i � ��� <br /> R ' ''" �' x.0005 $ `� <br /> ' (contract price) (minimum S.50) <br /> 3. sta e aad Iiandlin (Only niai!-in applications) $ 1.50 <br /> �, <br />�, �' r. r�C1 <br /> 1"� 4. T� TAI.PERMYT FEE(Add lines 1-3 above) � � `-� � <br /> ' � <br /> 3^ <br /> •C . TRACT pRICE or JOB COST mesuv nc�actuol or estimated dollar amount chargcd for the permincd work including <br /> ma als,labor,profi�,�nd other fixed cosu.!t is thc amount to bc chacged to thZ customcr for the worlc donc.IP ony maccrial. <br /> tq ' ent,labor,or installadon is furnishtd by che owner,tznan�or any other party�he reasonable market value of such itcros <br /> mus��be addcd to ihe e�timated cost or conuae[price for ptrmi[fee purposes.In thc eve�[that thcrc is a dispute on the amount of <br /> thr}pb cost,thc Ciry may request the submission of a signed copy of thc ac[uai conaset. <br /> .� <br /> •'T'ke STATE SURCF(ARGE is.0005 of the conttact price undcr$t,000,000 or$.50-whichtver is greater,For vafuazions over <br /> '' $1,000,000 cali che Der�artmrn�of[nspcction,�l Serviccs for the prict. <br /> Tht�ndersigned hercby applia to the Ciry for issuancc of a Mechanies►1 Permit,agrtes to do all wor1:in sirict accordance with <br /> thc dtdinanccs of the Ciry and tht regulations of the Minnesota,State Buitding Codc,and cer�ifics�ha[all statemcnts made on this <br /> appl'uation arc completc,�tue and cocrect. <br /> f,; ;; `���� ,_� � <br /> � <br /> �� <br /> . --t'� <br /> � <br /> _ Date; � <br />�� A licant's Signarure. t <br /> A rovod By. Date: <br />� ! � 3 <br /> I �X <br /> ;i <br /> N <br /> � <br /> I <br /> � <br />