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Sea-11-Z002 D2:41ps Pro�-CITY OF ORONO +65224A4616 T-018 P.003/006 f-9A6 <br /> 2002 State Ststute ❑ Yes, This Section Applies <br /> 1he replacemenc of a Re.�idenraal fixmre or_�n 1'D�anC tbat meets all chree of the following <br /> tequiren1ents: <br /> 1) �t �xequire IDaiitieadon co elec�rrical or gas service. <br /> 2) Has a total c�of$500.00 or less; exchuti�che cost of thc fixture or appliance: <br /> and <br /> 3) Is improveci, installed or replaced by the homeowner or licenced contraccor. <br /> Skip next seCtion; Cost of Pett�tit $ 15.00 <br /> State Surcharge $ �SO <br /> Mail Yn Fee $ 1.50 <br /> If above does not�pply, follow guidelines below: <br /> 1. Con , ct�* is .0125 R'o of job with a Minimmn F��($35.Q9� <br /> �Q�� _ x .0125 $ <br /> (contract price) (minimum 535.00) <br /> 2, �.�c aree• ** Add tfie Stace Buildin� Code Division a (Minuttum Fee of� .S4) <br /> x .0005 $ � <br /> (conttacc price) (minimum$ .SO) <br /> 3. �.and�n� (Un1y mail-in applicatio�) $ _ 1.SO — <br /> 4. TOTAL P�RMIT FEE (Add lines 1-3 above) $ _ _ <br /> +� CON'I'RAC'f PRYCE er JOB CUST mesns the�tual or escimatod dollar amount cbnrged for the permitud <br /> work inchiding ma�eriais,labor,profit,and ocher fixed cosu. It is the amoun�eo be charged w c!�cuscomer <br /> for�u work done. If any maurial�equipmeni,labor,or inst�llation are fu�shed by che owner,cenanc or <br /> aay othet patty che reasoaable marke�value of such items must be added to che estimaced cose or eontract <br /> price for permit fea purposes• Yn th�ev�nt t�t�e�is a dispu[e on the�tnount of the job cast,ihe Ciry maY <br /> r�si�he suDmission of a sigued copy of the mcwal concrac[• <br /> �* The STA7�SURC�IARGE is.QOOS of tt�c�tract priee under 51,000.000 or S.50-whichewer is greater. <br /> For valna��ons over E1.000.000 call the Deparunent of Inspec[ion Services for the price. <br /> � ���gn�hereby appiies to the City for issuance of a Plumbit�g Pett�lit, agrees to do all <br /> aork in stricc accordanee with tbe ordinances of the Ciry and tbe rcgalations of the State of <br /> Minnesota, and cercifies that all statemenu made ou this application are complete, t�ue an�d <br /> correct. <br /> A licant's Signature� � �•� Dace• � 02 <br /> PP <br />