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0't-20-2009 04:21pm From-CITY OF ORONO +9522494616 T-862 P.003/003 F-144
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<br /> [7 Yes,this section applies
<br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements:
<br /> 1. Does not require modification to electrical or gas service.
<br /> 2. Has a total cost of$500.00 or less;excl n the cost of the fixture or appliance: and
<br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor.
<br /> Skip next section,if this applies; Cost of Permit $ 15.00
<br /> State Surcharge $- .50
<br /> Mail-In Fee(If Applicable) $ 2.00
<br /> Total Permit Fee $
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<br /> If above does not apply;follow guidelines below:
<br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
<br /> Son x.0125$ 4. -D
<br /> (contract price) (minimum$50-00)
<br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
<br /> x.0005 $_ a.t5t)
<br /> (contract price) (minimum$ .50)
<br /> 3. POSTAGE&HANDLING(Only on Mail-hi Applications) $_. 2.00
<br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $",�W�•C0
<br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
<br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
<br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by
<br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the
<br /> estimated cost or contract price for permit fee purposes. In the event that they: is a dispute on the
<br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract.
<br /> • **The STATE SURCHARGE�yis.0005 of the Building Department at(952)249-4600 for the price.
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<br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
<br /> work in strict accordance with the ordinances of the City and the regulations of the State of
<br /> Minnesota, and certifies that all statements made on this application are complete, true and
<br /> correct.
<br /> Applicant's Signature:1p 0 0 1/ V'C)J A Date: 1.rLb” `b
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