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Jan 09 03 12: 13p p. 3 <br /> � Jarr07-2603_ QB:23am Fro�-CITY OF ORONO +65Z2/A4616 T-TIO P.00210D3 F-B47 <br /> � <br /> pE,RMIT E CAI.CY]LATION(Sl <br /> zOa2 Stste St�cate ❑Yes Thi9 Sectiaa Applies <br /> The replecemant of r RosidentiaJ fixture or aQptiance that roeets all threa of the foJlowin�requirtmeats� <br /> 1) Dces not require modificallon to electricai or gas service. <br /> 2) Has a total cosc of 5500.00 or less;�acc1►idj,pg the cost of the fixture at appliance: <br /> and <br /> 3} Is improved,instalied or replaced by the homeowner or licensed cont�actor. <br /> Skip next section; Cost of Petmit S !S.QO <br /> Sta�e Surcharge� , .50�,_ <br /> Mail-ln Fce � 1.50 <br /> If above dces not apply.follow guidelines below; <br /> 1. Co�teact Price"'iS.0125%of job with a Miaimum Foo af(S35.QO1 <br /> �n�� x.012S S <br /> (con�ract priee� (minimum 535.�0) <br /> 2.State Surc_h�rg�e.**Add the State Building Code Division a Minim�in Fee o�'(S.SO). <br /> ��i�� x.0005 S <br /> (conuact prieo) (miaimum;.SO) <br /> 3. ost nd HAndlin (Onty moi!-in appltcalionsj $ ��5a <br /> 4.TOTAL PERNIIT FEE(Add fines l-3 above� $ <br /> -CQN'rTtACr PRICE or JOB COST ata�e►s the ac�ual or e�imated dollar amoum charYcd Por che pertn�ned work iactudin�� <br /> maarials,bbor.profit,and olher�d cos�s.it i:the amoutn io be charged to the customv f�d�e wock dont.If eny rnsttrial, <br /> oquipmrn�.labor,or instalta�ion is tLrnlshnl by rhe cwntr,tenon[ot ony othtr pany the reasonebla merkot vnlue of 3uoh iums <br /> must be added to eht tseimAted cost nr eu�sracs pricc for permn fx purposes.In thr ev�nt thst there is s di9puce on the amoun�of <br /> iF►�job eost,�he Ciry muy r�quest�he cubmission of a signed copy of thc acnt�l oontract. . <br /> •'The STATE SU�CHAIiGE is.00OS of�ht eontreec price anda S1.00O.ODO or 5.5�-vrhichever is g�acer.For wluaiions over <br /> S1.000.000 c411 rbe Depqnment a�lnsp�siortnl Strvicts fo►�he prict. <br /> The undcrsigned hereby applics to ih�Cily tor iSsyence of n MtcAonicsl Pennit,agrees w do all work in sttics ticcordance with <br /> tha ordinonas of the City and thn r�gulutions of the Minaesora S�a[e 9uilding Code,and cerdfia that all sauemen�s made on�►is <br /> applicotion ave Con+plete,mie and comeCt. <br /> , <br /> Applicant's Signature• '`��'"��w �'-"�bate• �"'�- �� <br /> Approved By. Date: <br /> 3 <br />