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� GITY OF ORONO � 6122494616 10/26/99 09:08 (� :03/OS N0:490 <br /> PER.1N IT FE� �,AL��,��'*� <br /> I. 1.2�9� of Co�t Pric�-,'" or ��__.�.�g( S OOl <br /> -_ ��� �c .0125 � �� 'l� <br /> (contract price) � <br /> 2. St�tc Surchar�e ** Add th� State Auilding Code Di.visian <br /> Surcharge to each permit. — x .OpOy $ --�;1�1� <br /> (aonsraat pticc) — <br /> ar $,50, whyc��ver is gr�atcr <br /> 3, Post��e and Ha d��ri� (Q��r mail-in applications) $ ,50 <br /> 4. 'FOTAL PERMIT PEE CAdd 1it�es 1-3 abovc) � <br /> * C�NTRACF pRICE or JOB COST mca��hc acival or ostimatct! dollar arr�ount charg�r,i Por the perzvitted <br /> work includir�g matbrialsr tabar. proCit, and ocher ffard coscs, It is thc amounc to be charged to che <br /> cuatQmcr tor tbc waik�ane, I[any materiai, equlpp�nt, labat��r iru�tallation are furri]shcQ by the owner, <br /> ten�nt or any othar party the reasoriable marlcet value af such items must be fuided Co the cstianated cost <br /> ar contr�t psica Ior parm}r foe purpoaea. In the evsnt that there 1s a dispuCe on the amou��t af lhc j�b cost, <br /> tl�e Ciry m�y re.quest the submissiun of e al�hed copy of the actu�l coatrat:t, <br /> ** The STATE Si.rAC�.ARC�E is ,0005 of the contracc price under $1,OOO,i7()0 or $.SO - wplchever is <br /> greatCr. For valuations over $1,OQt?,OpO call the Departmrnt of lnspectioz�! Scrvices for the pric:e. <br /> Th� undersigned hereby appli�s to the City for. }ss�uance of a Plumbing Permit, a�rces ta do all <br /> wdrk in strict aecordanee with the ordinances of the City anci th,o re�ulatio��s of the State of <br /> Minnesot�, and certi�es th�t all statem�nta m�de on this application are complete� true and <br /> correct. <br /> Applicant's Sign�ture: <br /> - nac�: lo <br />