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D�c-Oi-2008 OZ:61p� FrarCITY OF ORONO +p5224�4616 T-O76 P.004/004 F-482 <br /> _.. �• <br /> � , , . _ <br /> ❑ Yas,this section appIies <br /> 17�e repliccmeat of a R:esids�tial fixc�e or applianco t��meets all t�nroe of tlbe follow�ng requiremea�s: <br /> . 1. �require modiSca�on to elccuical ar gas seivice. <br /> 2. Has a�t of$SQ0.00 or less;e ud�g the cos�of the fi�ure or appliance:and <br /> 3. Is im�roved,ins�alled or replaced by�e b.omeowner or licenscd conQac�:►r. <br /> Skip next section,if this applies; C osc of p�rmic $ 15.00 <br /> sr��su��g� a .so <br /> Niail-Ya�'ee(Yf Applicabls) S 1•50 <br /> TotAl Permit�ce S <br /> If above dvcs aoc�pply;follow guideliaes below: <br /> 1. GANTRACT PRICE •is 1.25%of co�uzact price with a(Mioimum Fre of 535.00) <br /> � �'SD� °�' X.oi2s s 3�, °=-- <br /> �co�n�aa arice� ;mi�m�s.00� � <br /> 2. STATE SURCHARGE '"*Add thz SrsU:Bldg Codr Div.Surch�rge(Mlofmam Fee oi S.SO) <br /> 1 �ja. °- X.�S � a � a <br /> cco�uroc�,a;ce) —'tmn,ii„ums .SU, <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applicatioas) $_. 1.50 „_,.. <br /> 4. TOTAY.F�RMIT FEE(Add Lines 1-3 Above) S� �- � $ <br /> ■ * CON�RAC!'PRICE ar JOB COST means the actual a� estim�tted dol]�r�mount ciuu�ed for the <br /> prnnitted work iAcluding materials,labar,profit,fuid othor fixed eosrs. Ic is rhe amoimt to be cba:gad <br /> ta the cussomtr for thz work done. If any me[eris;� equipmtnt,}aba�or irx�nllations axe flarnished by <br /> the owaer,tep$ai or any o�r party,t�e reasonable marlcet value of such itiems ,nu.az be addsd to thc <br /> estimaud cost or conuract price for perniit fee ptrposes. rn the ev�nt rbai there is a disputie on tho <br /> amauat of the job cost,the City may request the submissioa of a si�ned eopy of the actunl couuack <br /> ■ **The STATE SURCFiA1tQ�E is.40U5 of the Building Deparm�eat at(952)249jt60Q for the price. <br /> The undersigned hereby applies to the Ciry for is,�uanee of a Mceharrical Perrnit,ag�ees to do all <br /> work in s�icc accardance with thc ordinances of the City and che regulati�ms of the Star.� of <br /> Minnesoia, and oertifies tbat all �taumerits ma�� an this applicatian are �omplete, r�n,e and <br /> correc� <br /> Applicant's Signature: ��• �� tI � <br /> 3 <br />