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�v-15-2n02 08:18am From-CITY OF ORONO +9821494616 T-�8fi P.003/003 F-1gS <br /> p�RMIT � CALCULATIQ�I� <br /> 2002 State Sta�11f� ❑\�e�, �'� �cdon Applies <br /> The replacement of a ltcsi ntial f" that meets all three og trie fallowing <br /> requirements: <br /> 1) �,�not cequixe modificari�4 to electrj�al or gas service. <br /> 2) Has a cost af$500,00 or�ss; 1u i tt�e cdst oP the �ixrure or appliance: <br /> a�d `� <br /> 3} Is uxiproved, installed o� rep ed b�,the homeowner or liCeliG�d cQntractOr. <br /> Skip next section; Cf�st of Permii $ _ 15_00 _— <br /> � Sta►te Surcharge $ .SO _ <br /> Mail In Fee $ 1.SO <br /> Tf above does not apply, fallow guidelirnes below: <br /> 1, ' utra �g* iS ,0125 °k Of job with a Minim,�rn Fee uf dS35A0t <br /> �,. <br /> �-1 , x .0125 $ �A s"'Z. '�_ �C`'� <br /> (contraCC pcice) (minimum$35.00) <br /> 2. State S�ar� '�* Add the St�te Building Code l7ivision a (M�nimu�at Fee c�f$ .5�) <br /> � i/ _`, ,r� -� _ � �0005 $ �-� i - <br /> (contract prict) (rnini�eusn$ .50) <br /> 3, g,� (Only mail-in application.$) $ <br /> 4. T4TAY.FERIVYIT FEE (Add lines 1-3 above) � ��"=���G'+� <br /> * CpN'TRACT'PRYC�or JOB COST m�ans the aecual or estimated dollar amount char�ed Por the permitied <br /> wark includutg mAt$rials,labor,profit,and o�+.�r flxed cQsts. It is thc amount to be charged to the cusromar <br /> ior tl�work clane, ::x,".y-'sace:i��, equip�ent, labor,or instnlladon Dre fivaished by tkd awner, tena�t or <br /> �y atbeX pe�ry the reasouable market vtilue of such items must ba added to tha estirnated cost or contract <br /> prico for percnit fa purposes. In the event that tlure ta a dispute on th�amount of th�j�b cos�,the City may <br /> request the s��bmissian of a signed copy of d�e acnxal eontracc. <br /> ** 't'he STA�'E SURCHARGE is .0005 of the contract pcice wzder$1,000,00o ar �.50-whachcver is great�r. <br /> �or valuasiot�s over�1,000,000 call the l�epaztmeni of Inspection Sarvices for rhe priae. <br /> The undersigned hereby applies ta tbc City for issua�►ce of a Plumbing Pernlit, a$rees to do all <br /> ve�ork in strict aCc:ordance with the ordinaricrs of the Ciry and the regul�tion� af the State of <br /> Ivlinnesota, and certifies that all statemenu made on this apglicatioa are complete, true and <br /> correct. <br /> Applicai3t's Si��,►au�e�� -,-� �i` ��� ,+,: r _ Date: ti��, <br />