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Mar-28-2006 12:31pm From-CITY OF ORONO +9522494616 T-205 P.004/004 F-643 <br /> � � � f, ,� ������;� .,,,p�RM�'�;�k'��CAI;C �,Z�TI4N � ,.,_;Jd$S'�,�V��'�S�Q4Q0'� '` �,' ,�:r� � ' <br /> If above does not apply; follow guidelines be�ow; <br /> 1. CONTRACT 1'RTCE *is 1.?5%of caiat�act pxice with a(Nlinimum Fee of$35,00) <br /> x.0125$ <br /> (conn�ac�price) (minimum$35.00) <br /> 2, STATE SURCHARGE **Add fl�e State Bld�Code Div. Surcliarge(Minimum Fee of$.50) <br /> x_0005 $ <br /> (cann4ci pricc} (minimum� .50j <br /> 3. pOSTAGE&HANDLI�IG(Oz�ly oi�Mail-�n Appl�ca�aons) $..._.. __ _1„50 <br /> 4. TOTAL P�.RMIT FEE(Add Lines 1-3 Above) $�`� �J�' <br /> N * CONTRAC�' PRICE or JOB CpST mcans tlic actual or estin�azed dollar amouiu char�;ed far tl�c <br /> pazmittcd work including ma�erials, lAbor,profiz, and other fixed cosis. Tc is cUe amount ta be charged <br /> to the custiomer for tl�e work done. If any matex-ial, equipn-ient, labor or iustalIations are funlished by <br /> tl�e ov.�ea�, tenanc or any otl�er pa�-ry, che reasonabie niarket valt�e af sacl�icrnzs niust be addcd to th� <br /> estimatzd cost or con�ract price for pernut fee purposes, In the event that there is a dispute on the <br /> amouilt af tl�e job cost, tlie City may requrst tha subnussion of a sigued copy of the actual cantract. <br /> � �*The STATE SURCHARGE is .0005 of�e contzact price undcx$1,000,000 or$.SQ�whicl�ever is <br /> sreater. �or valuations over$1,�00,000 cali the Buzlding De�at�nnent at(952)249-�+600 for�he price. <br /> i ��. �' '`�'�°C`1�1�'�G,�-E�:1V1�T.T��A��?7:T,G°A�'�QN'';A�'i�'�+I�E�T�'� "� .��,� , , <br /> The undersigned hereby applies to the City for issuance of a Plumbing permit, agrees to do all <br /> wark in strict accordance with the ordinances of thc City and the regu]ations of the State of <br /> Minnesqta, and certifies that all statements made on this appiication are comglete, true and <br /> cp17eCC. <br /> � <br /> Applicant's Signature: � Date: — i <br /> 3 <br />