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' GIT� OF ORONO � 6122494616 10120199 14:35 � :�3103 No:393 <br /> �',�i,��E CALC�LATTOI�i <br /> L 1..25°�6 of Can�c, ic:e'" or 11�J ��L��1 <br /> f���— x .oi2s � //8. '75—' <br /> {contrxet price) <br /> 2. 5� 5u a Q�, """ Acld che State $uils3iing Coci� Div�siot� � <br /> 5urcharge tc� �ch parmit. �,� a" x .Ofi►05 $ ���„�_ <br /> (eontract price) <br /> or S,S4, whiche�r � greater <br /> 3. Pb$ta� ancl Handlina (Oril� mati-�Za �pplic�tions) � '�� . <br /> 4, '�OTAL PERMtT FEE {Add li�s 1-3 �buve} � f�� ; ,�_ <br /> + OUNTKACT P�iCB ar K�9 COST means tbe actnai ar estlmat�d d�1lar amauna chargcd for t�e permitted <br /> wotk ln�luding mateclale, labox, prot�t, nsid other fixod coats. Jt is the �r�t to bo charged to thr <br /> cnasomer for tke work done. IPany matcriai,oquipment, 1�6or,ar installatlon s�re fixr�,t�ad hy�he awaer, <br /> tetuutt as�ay otber perty the remonabin mukot value of eucb items muet be added to thc cstunatcd cxzsr, <br /> or aratraet price foi permit fne purpc�s. In tb:e ovant th�t there is k cii�pute on thC tmount of d�c job coat, <br /> the Crty �y request the submi�etoa of t aig�od cogy oi t�e Actual cantracc. <br /> *'+ The STAT� S�'R�IiARGE is .0005 of the coatract pcica utxi�r �1,C�UO,OQO ar S.SO - whiohever iY <br /> aroeter. F�ir v�luations aver $1,�Ob,p00 e�11 the Depastment of Inspocsianat Scrviccs for the price. <br /> The underaigned hercby appl�es to the City for isauanca of a k�YtuYzbing Parmit, �grees to do �11 <br /> work in str�ct acc�ordance with the oz�inances of the City and the rc�ul�tior�s of t�ie State of <br /> Mint�sota, and ecrti�es that atl stxtem�nts m8de an this application a�re cnmplcte, true and <br /> cor.r�t. <br /> � , <br /> ApPlicant's Sig,nature: � , ��j�,,��'t-, Dete;�-�c`, <br />