2002-P04833 - mechanical - Laserfiche WebLink

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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of 3 1) Docs_uot rcquirc modification to cicctrical or gas scrvice. 2) Has a tota,l cost of$500.00 or less; excludin�the cost of the fiarture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip ne�ct section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125%of job with a Minimum Fee_of_�$35.0_0� �� 3�__X .o�25 $ -- �► �� 9 (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of�$ .50� I�. R 3 � X .0005 � �� (contract price) (minimutn$.50) 3. Post�e and Handli�(On[y mail-in applications) $ __ 1.50__ 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��• LC� *CONTRACT PRICE or JOB COST means the actual or estunated dollar amount charged for the pernutted work including materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done.If any material, equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contract. **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Pennit,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true an rrect � Applicant's Signature: -- ___��c�Q-- Date: _ � � /U 'Od� � - - Approved By: ______ _ Date: http://www.ci.orono.mn.us./mechanical%20permit.html 1/18/02