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� Jan�;�i-2005 �10:48am Prom-CITY OP ORONO +95Z2494616 T-d66 P D03/003 F-033 <br /> , r .. s <br /> p y� � UI,ATIO <br /> 0�0 S St tu ❑ Yes, This Section Applies <br /> The replaceinent of a Resident'a fixture or ap��e tha� meets all three of the fQllowing <br /> requirements: <br /> 1� D s n t require modification to electrical or gas service. � � <br /> 2) Has a��of�5�.�or less; excludin the cost of Lhe fixmre or appliance: <br /> and <br /> 3� Is unptoved. i�stalled or replaced by the homeowner or lice�ced contractor. <br /> Cost of Pernuc $ _ 15 00 — <br /> Skip n,exc section; g��e Surcharge $ � <br /> Mail In Fee � 1 50 <br /> If above does aot apgly, follow guidelines below: <br /> 1, Cont ct ice* is .0125 % of job with a Minim�FP" of"�-�� <br /> x .0125 S <br /> (convact price) (miairaum 535.0�) <br /> Z, State -S�u rhate�_""� Add che Stace Building Code Division a (Minimwn Fee ot$ 's�� <br /> x .0005 � <br /> (conuacs price) (minimum i .50) <br /> 3. Pos a e a d a 'n (O�Iy mail-in applications) <br /> $ 1.50 <br /> 4, T��y PEg�T�E (Add lincs 1-3 above} $ _ <br /> * CON'�CT P�C£or JOB COST means�he accual or estimaud dettar unount eharged tor che permitted <br /> work including��a1s.�bOr�profit.snd oches fixed cosu. It is the amount co be charged�o�he c�stomer <br /> for the work do�. If any material,e9uipmenc,iabor,or iascailation are futnished by che owner.tes�aac or <br /> �y��r�y cbe nasonsbk markec value of such iiems u�on the am t�of the job ost Stl�e C ry maY <br /> price for permit fee P u�p O u s• N��ven<<ha.t�ere is a disp <br /> d co of rhe ac�nal conaact. <br /> request the submission of a sigae PY <br /> +• The STATE SURCHARGE is.0t�}5 of the conuxnpna�l�•s��l� for th pri�e.�ver is greater. <br /> For valuations over 51,000.00�call ihe DeP� <br /> l�es to Lhe City for issuance of a Plumbing Pernni�� a�rees to do all <br /> 'fhe undersigned lxreby app ' <br /> work iu strict aceordance wi[h the ordi'°anees °� on this ppCication aretic mPl u � �d <br /> Minnesoca, aztd Certifies that all statements ma <br /> correct. J <br /> �,������� Date: / <br /> qpplicant's SignatuTe: <br />