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OCt-04-2001 OA:08am From-CITY OF ORONO +A522494616 T-182 P.004/004 F-45Z <br /> • <br /> ' PERMIT k'EE CAT..CULATYON(S) � <br /> 2D02 State Statute ❑ Yes Thi� Sect:on Applies � <br /> The replacement of a Residential fixture or appliance that meots all three of the following requirements: <br /> l) Does not require modiftcation to electriwl or gas service. <br /> 2) Has a total cos of$500.00 or less;excludine the cost of the fixture or appliance: <br /> a <br /> and ' <br /> 3) Is iinproved, insralled or reptaeed h3�the homeowner or licensed conQactor. • <br /> Skip next section; Cosi of Pcrmit $ 15.00 <br /> Stnte Surcharge $ �.SO <br /> Mail-ln Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Cor�tract Price* is .0125%of job wich a Minimum Fee of($35.00) <br /> aa��� ��X .o�25 $ ��-1, s� � <br /> (co �ract price) (minimum 535.00) - , • <br /> 2. State SurcharQe. ** Add the State Building Code Division a Minimum Fee of(S 501 <br /> �-� x .00�5 � .—�3� _ <br /> (contract pricc) (miaimum S.50) <br /> 3,�'ostagc and Flandling(On/y r,rail-in rtpplicalrons) $ 1.50 <br /> 4.70TAL PERMYT FEE (Add lines 1-3 above) S �� > J� <br /> •CONTRACT PRFCE or JOB COST mtans thc aetual or estimattd dollar amount chugcd for tht permincd work including <br /> mnterials,labor,p�ofit,nnd other fixcd costs.ic is the amount to be chnrged to thc cu3iomer far thc work dona.If any matetial, <br /> equiomenr,labor,or insta[lation iy fumished by tht owner,tcnt►nt or any othtr parry thc rtnsonable merket vnlue of such items <br /> must bc nddtd to thc tstimated cost or eonuact priee for permit f::e purposes.In:he event:hat thtre is a dispute on the amaunc of <br /> [h�job cost,�he Ciry may requtst the submission of a signed copy of the aecual coneracc. <br /> •'Tht$7ATE SUItCHARGE iy.00OS of thc eontract pricc under S1,000,000 or S.SO-whichever i�gren�er. Fo�valuacions ovcr <br /> S1,000,000 call the DcpuRmenc of Inspectiooal Servica fo�tht price. <br /> The uttdersigncd hereby applies to the Ciry for issuance of a Meehanical Permit,agrecs to do a1t work in shict acco�danee with <br /> the ordinnnces of the Ciry and the regulacions of the Minncsotn Stott 8uildin�Code,nnd ecRifies that nl)stnttmenis madc oo this� <br /> npplicntion ere completq true an orrcc� ' <br /> Applicant's Si�rtature: Date: � <br /> Approved By: Date: <br /> y 3 <br />