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CiTY OF ORONO � 61z4730510 O6l08/98 14:07 � :02/02 N0:195 <br /> , � � <br /> , <br /> �'' . '�., '' ' k.r.��"� <br /> 1. 1.'ZS% 4f CQnttt�jt.�'L�.r�e,* t�r �i �!' ��35.OQ) <br /> x .0125 $ �70 ,� <br /> (coatrnct pricc) <br /> 2. � S r r �. �`* A�d the State ui cli Codc Divisian <br /> 5urchargc: to each pcnnit. _._._���� � x .ODOS $ _ 3a y� <br /> (coatract pric.�e) <br /> or $,50t wi�ichever is $ceater <br /> 3. Posta�e and �[��i,gg (Only maii-in applicacio�ns) � � <br /> 4. TOTAi� PERMIT FE� �Adct lines 1-3 ak�nve} � ?� <br /> + GOI+ITRAGT PRiG�?or 30B C(?S'f cneans the actaal or estirnated dollar amount eharged fvr thc pcimittct4 <br /> wotk in+:fuding matcrials, lab�ar, grnfct, and t�chsc �xcd �x73tb. It is thc atrtos�sl to be chasgtd to the <br /> tuatc�tner lor thc Wark done. If Ar►y matcrial, equiptucnt, fabor,ar lnst�llati�n arc futatished by the awner, <br /> trnant or any Uiher pany the reasonable rrrfarlcet valuc of auch items must be added to the estimaied Gaat <br /> or cont�ncc price for permit fce purposts. In the eveut that Ihtrt i9 a disputt on the amount o!the job cosc, <br /> tAe City rzwy rcquast the �ubmis�ion of a eipu�ed copy of the actual cantract. <br /> +'* The STAT� SURC�iARG� Is .0005 of �he contract price under $1,000,000 or S.SO - whiehsver is <br /> gttlaeer, f�oT vufuations aver S1,OOO,t�O call the Drparttnent af Jnsyci:tiunul 5eiviccy iur ths price. <br /> The uncicrsi�ned hereby applies to Elie City f�r issuanc� of� Plumbing Perrnit, a�rees to do all <br /> work in atricc accordanc;e wiCh the ordinanCes of the Cit and the regulations of the State of <br /> Minnesota, and cenifies that all �catements ta�ade on i applic�tiQi� �re completc, true �nd <br /> cornct. <br /> App�icant'sSign�ture: .. ._..___,._ _Date: � � <br />