2002-P05719 - mechanical - Laserfiche WebLink

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l %t-07-200Z 09:55am Frcm-CITY OF ORONO +9522494616 T-195 P.003/003 F-483 gERM1T FEE C LC=UX ATIO_NU 2002 State Stat to ❑ Yes This Section Applies The replacement of a Residenti txture or aoDliance that meets all three of the following requirements: 1) Does—not require modification to electrical or gas service. 2) Has a total exlttdin cost of$500.00 or less; cthe cost of the fixture or appliance: and 3) is improved, installed or replaced by the homeowner or licensed contractor. Cost of Permit $ 15.00 Skip next section; State Surcharge$ 0 Mail-In Fee $ 1.54 if above does not apply,follow guidelines below: 1. Contract Pri * is .0125%of job with aMinimum Fee of35.00 7 �� . _x .0125 (contract price) (minimum$35.00) 2. State Surch ** Add the State Building Code Division a Mini Fee of $ .50 uree_• x.0005 $ (contract price) (minimum S.50) 3. Posta t and Handling(Only mail-in applications) $ l.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� •CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer or the worblemarkdone.vali of any Mateems equipment,labor,or installation is furnished by the owner,tenant or any other party the tract price for permit fee purposes.In the event that there is a dispute on the amount of must be added to the estimated cost or con ssion of a signed copy Of the actual Contract. thQ job cost,the City may request the submi -The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or S.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 Permit,agrees to do all work in strict wcordance with the ordinances of the Ciry and the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. I D - Applicant's Signature:ink L Date: Date: Approved By: 3