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? ► CiTY OF OR�NO �? 6122494816 10/18199 10:33 [� :Oz1Q2 N0:308 <br /> 1. I.23°� qf C:antract Prjg�* c�� � <br /> �qsp �a x .o�2s s �y3� <br /> (coa�racc pda) <br /> 2, !��, �+�*�P '"* Add tfie State Huiiding Cnde Division <br /> sur�harg� W a�h p�rmit. 3�'/S7��� x .t?003 $ /, %�---- <br /> .-_-�.�----- __. <br /> (cAntract pr�ce) <br /> ' or �.�4� wrilct�ever is greater <br /> 3, Pas�e snd H�d1ia¢ tOniy mall-in applic��ions) � 1.50 <br /> 4. TOR'AI. P$RMIT FEE (Add linrs 1-3 �bovc) $ ,5�2. P� <br /> � COAITRAGT PWCB or�DB c�oST me.ns ti�e amu�t ora�timated dollar�ouat cherged for tbe permiaod <br /> vwrk�laetud�a nuueri�'. labor, Prolie, urd rnher nxed cc�ts. It is rbe �unt ta be charaed to sfae <br /> cu�tamer fnr t6e w+ark do�. [f any muesial. equiPa�e�t.lxbor,or is�tall�tbt►erc htrnished by the owner, <br /> eemmnt or Iu�y ath�r patyr the re�sanNbk mukct veluo of ruch [tstns muat be r�ddod to the orti�nacod cosc <br /> ot coat,tact p:ioe�ar parmit fee purpo�os. Yn she evem thu t�ere is a dispute on the amau�of khe job co�c, <br /> the'Cicy mty roqueet d�a�ubrolpiofl at a�l�t�ed copy vf�he actuai contr�ct. <br /> �'" '11tm STATE S[T�tCHA,R(}E ie .0005 at Ihe'cantr�ct pri�� undar S1�OQ0�000 ar S.St) - whichaver is <br /> areater, Fsr v�luations over x1,000,000 call th�Departmont of Inapectionat Services for ibe pricc. <br /> 7he us�er�ip,zxd baceby appliea to the City Por issuanx of a Plumbing Perrait, agreeg to do�Il <br /> work in �cc accarda�ae with trie ardi�nar�cee of tha Ciry and the reguladons oi tbe State of <br /> Nlinnesota, si�.certifies that all statementa made nn th[a appti�ation ace c,amplcte, tnre �nd <br /> col'recC. / <br /> A�ppliau�t's Si�nature: �` Datc: 1l�-��—C� <br /> � <br />