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Feb-21-2006 01:I4pm From-CITY OF ORONO +9522494616 1-086 P.004/004 F-253 <br /> I . <br /> r <br /> 'rt <br /> ' :',,I i. II I � <br /> ' ' iW1i ' <br /> SI:1..,'Ii''.ur.lLLLIL„�I..:;',�'LLllJu'...._ .� �L.4 „1.u1...u,V;W.,4.r.JT".1'1.,L �. ,..J_I1 W , ALI <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE '"is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> Lt 1900 Go <br /> x.0I25s <br /> (c mu'eet prier) (minimum 535.00) • <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum pee of S.50) <br /> I �G x.0005 S • <br /> 9S <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> i <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 35 <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material,equipment,labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost,the City may request the submission of a signed copy of the actual contract. <br /> • **The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is <br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. <br /> w..V w { 'I f� '� Q� � Wi JV'('. I. �`V'� ICIII �I ( ) rl ' I ' �{ .' <br /> � .'l ;'I�' IIII�.W�,(I6' ,.�J61����ULi� 'Jw: .� :L�!y�.L "P.1 1�....,1�r!. ,.u�l��, a�.�_I � 1 a J�"lW..ali.:�,,u_,1,- ,�.; <br /> �.I <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: 71.1(4.-"2 M <br /> Date: 2 ZZ-G"t <br /> 3 <br />