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�'��t-04•:C32 08:08am From-CITY OF ORONO +8522484616 T-182 P.004/004 F-452 <br /> � <br /> pERMIT�'EE CALCULATYON(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture or appiiance that meets all three of the following requirements: <br /> 1) Does not reguire modification to olectrical or gas service. <br /> 2) Has a total cost of$500.00 or less; excludinc the cost of the fixture or appliance: <br /> and <br /> 3) Ts+i�cnproved, installed or replaced h3�the homeowner or licensed contractor. <br /> Skip next section; Cosi of Permit $ 15.00 <br /> JiIIIe Jlll'CA3f�C-0 .3v <br /> Mail-ln�'ee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract�Price* is .0125% of job with s Minimum Fee oi($35.00) <br /> �� c x .0125 � �� `� •�� <br /> (contract price) (minimum�3S.CU) <br /> 2. State Surchar�e• ** Add the State Building Code Division a Minimum Fee of(� .�0) <br /> - - � 3 .� <br /> �.��o X.000s $ <br /> (contract pricc) (minimum S.50) <br /> 3. p4s'ta�c and Flandiin�(Only►nail-in applicalions) $ ?.SO <br /> 4.TOTAL PERIVIYT F�E (Add lines 1-3 abave) $ �� �� <br /> •CONTR.ACT PRICE or JOB COST mtans thc actual or estimated dollar amount chargcd for Ihe pertnictcd work including <br /> mnterials,labor,profit,bnd othtr fixed costs.Ic is the amount to be chnrged to the cu�[omer for thc wotk done.If any material, <br /> equipment, iabo�,or in,caiintiar i:;iu::;isi:�c���t.`.-o':'^e:,t-.�Eutt or�ny o!her p�sca ihr rtnsonable marktt velue of s�.ich icems <br /> must bc ndd�d to tht estimactd cosi or coneroa price for permit fce purposes.In the event that there is a disputz Oft the amount oi <br /> eh�job cost,[he Ciry may requtst the submission of a signeQ copy of the actual contract. <br /> "'The S7ATE SUACHARGE i�.00OS of ehc concract pricc under S1,OU0,000 or S.SO-whichever is greucer. For valuncions ovcr <br /> 51,000,000 call the DepeRment of[nspectional Scrvices for the price. • <br /> The undetsigncd hereby aQplie�to the Ciry for issuance of a Mechanical Petmit,agrecs to do all work in stric[accordanec with <br /> i.he ordinpnces of the Ciry and thc rcgula�ions of!he Minncsotn Stott Building Code,and ecrtifies chat all stattmen�s madc on this' <br /> npplicntion are complete,true and correcL <br /> Applicant's Signacure: Date: � � <br /> Apptoved By: bate: <br /> 3 <br />