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Jan-ZI-20D5 10:48am Fram-CITY OF ORONO +95224A4616 T-466 P 003/003 F-033 <br /> � ✓ . <br /> pF�r_ CAL U7.ATI��1 <br /> ?�U2 State St tute ��, This Seciion Applies <br /> The replacement of a Residencia fixture or a liance that meets all �hree of the fallowing <br /> requirements: <br /> 1� D_oes n�require modification to electrical or gas service. � <br /> Z) Has a caral cost of S500.00 or less; excludin the cost of che fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licenced contractor. <br /> Cost of Permir S 15.00 <br /> Skip next section; SQ <br /> State Surcharge � <br /> I�v1ai3 I.^. Fee 5 1 50 <br /> If above does not apgly, follow guidelines below: <br /> 1. <br /> Contr ct Price* is .0125 %a of job with a 1�Iinimum Fe of �35-00) <br /> x .0125 S <br /> (convact price) (minimum 535.0�) <br /> 2, State urch r�e. "`* Add the Sta�e Building Code Division a (I�Iinimum Fee ot $ .��) <br /> x .0005 �a <br /> (concracc price) (muu.mum S .5�) <br /> 3. Pos a�e and an lin� (Only mail-in applications) <br /> � 1.50 <br /> 4. TOTAL PERMIT FEE t <br /> Add lines 1-3 above) � <br /> CpK7RACT PIt10E or 30B COS7 means�he actual or esdmated dollar unount charged tor the permitted <br /> t work inciuding enaceTi�i6,14t�o=,gT°F�t.and ocher fixed costs. It is the amoun[to be charged co the customer <br /> for the work done. If any material, equipmeni, iabor,or inscalia[ion ara ��n'•:sh�d bY we p`"rner, tenanc or <br /> azyy o�G1 p�y the reasonable market value of such items u�on the amounc of theob�osto,sctie=C ry may <br /> price for pezmit fee purpose9. In�e�Yenc�hat There is a disP <br /> request the subm�ssion of a s�gned copy of►he acmal conCract• <br /> ** 'ihe STATE S(1RCHARCE u •�5 of the enntract price�d�uon�S�e�rvi�for th price.�hever is gr�acer. <br /> For valuacions over$1,000,000 cail �h� D�P�en�of tnspec <br /> The undersigned hereby applies �o the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinanees of the Ci�y and che regulations of the State of <br /> Minnesota, and eertifies chac all statements made on this application are eomplece, <br /> crue and <br /> correct. / ' � <br /> � Date: � ( l" �l J <br /> ppplicant's Signacure: <br />