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SEP-24-2002 TUE 01 ;55 PM MinnDak Mech Inc/Norse FAX N0, 763 441 9040 P, 06 <br /> fi <br /> 'Sep-18-i0�2 02s15pm From-CITY OF ORONO +9522494616 T-�16 P.D�3/U06 F-136 <br /> �1�Y'1'FEE CAT,C�rr.ATION(S) <br /> 20A2 State Statute ❑ Yes, Thi� 5ection Applies <br /> The r�placemen[ of a Res�denc�al 'Fxtur� or �lianeP tha,[ nneets all ihree of che following <br /> xequirements: <br /> 1) �gS npt requ'ue modifieaciou to e]ectrical or gas service, <br /> 2) �Yas a tota cost of$500,00 or less; excYudin�the cost of the fixiur� or appliance; <br /> and � <br /> 3) Ys impro�vr,ci, iastallcd or replacecl by the homeowner or licenced coiltractor. <br /> Skip next secrion; Cos�of Pern�it $ 15.0� <br /> S[are Surcharge $ .Sp �� <br /> Mail Tn Pee $ _ 1.50 <br /> ��above ddes no�apply, follow�ui.delutes below: <br /> 1. Contract Prrce'� is .0125 % of job with a Minim Fee�f(�3S_Op) <br /> K /, '?0�/; �r x .olzs � �4I�..?o <br /> � (con�rac�pdce) (minimum�35.00) <br /> 2. S1:�te S�urcharEe,'�'� Add the State Bu�lding Co� Division a (Minimt� Fee of� .5�) <br /> .�,�� �?��l�a-a' x .0005 $ -.�, v <br /> (contract prlcej ��;uy,m�$,Sp� <br /> 3, s� a (Ou1y mail-ia applications) $ 1. n <br /> 4. TATAL PERMIT FEE (Add lines 1-3 above) $ �,��%�p� <br /> ---�•, <br /> � CON7RAC1'pRICE or J08 COST me�ns die acm�1 or ostitnated doll�amount charged for�ye permittect <br /> work including ms�cr�a�s,labor,profl�, and o�hcr fixed cosu. It is rhe amount�o be aharged to th,e cusiomer <br /> for rhe work done. If any materiaf,equipmen�, labor,or fn9taila�ion are fumishea by ihe owner,cenant or <br /> any o�het pa��cy the nasonable marle�t valuc of such iioms must be added[o�ie es�t�ated eose or eoAtrac[ <br /> pr4e�far petrnit fee purposes, ln she eveat that cher�is a dispu�e ou rlu amourE�of ihe job cos�, [h,e Ciry may <br /> requeS�rhe submissi.on o�'a sfgnec�c4(�y of che actual wnaacc. <br /> W�' Ttu STATE SURCHARGE is.0005 of rhe cen�ract p�ice under$1,OOO�p00 oc S.SO-whichaver ls greate�, <br /> For v�►luations over$I,OOO,Q00 call the Deparrmenc vf Inspeecion Scrvticee for tha pciee, <br /> The undersigne� hereby appls'es to rh,e Ciry for iss�ance of a Plum6ing PeimiL, agrees to do all <br /> work ir� st�ict accordaruce wirh rhe ordinances of t�e Ciry and che re�ulations of t4e Scace of <br /> Mva�nesota, end cemfies rhat all state ents madc on this application are complete� crue �nd <br /> correc�. <br /> Applicant's Si�gnatu � Date; ''��aZ � <br />