• Nsr-17-2005 03:ZOpm From-CITY OF ORONO +9522494616 T-719 P-004/004 F-819
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<br /> �?�1' i^:�0.���4);�$'.'��.40;�o;,y:� .���- ..�.
<br /> Yf above does not appiy;follow guidelines below;
<br /> 1. CONT'Rp,CT pRICE *is 1.25%of con�act price with a(Minimum�'ee of$35.00)
<br /> x,0125$
<br /> (conEracc pricc) (minimum S3S.00)
<br /> 2. STA'Y'E SUR,CT�TA1tGE **Add the State�ldg Code Div.Surchar�e(Minimurn Fee of 5.50)
<br /> x.OQOS $
<br /> (conUact prica) (minimum$ .50)
<br /> 3. POSTAGE&HANDI,ING(Only an Mail-Tn Applicaiinns) g 1,54 ,_
<br /> 4. TOT,A,L T'�12MI'���(Add�iaes 1-3 Above) $____ L'1.�'�
<br /> ■ * CON2'RAC�' PRIC� or JUB COST means thc actuaI or estimated dollar amount chargcd for the
<br /> permitted work includiug materials,labor,prof�t, and other fixed cosu. Tr is the amouzu to be eharged
<br /> to the customcr for the work dor.e. Lf any matcrial,equipm�,t, labor or installauons arz furni.shed by
<br /> ihe owner,tenant or auy other parry, the reasonable market value of such items must be added to the
<br /> estimated cost or eonuact priee for permit fee purposes. Iu the event that there is a dispute on the
<br /> arnount of rhe job cost,tho Gity may rcquest the submissioa of a signzd copy of nc� actual eon�act.
<br /> ' **The STATB SU'�ZCHARGE is .00OS of rhz coutract price under$1,P00,000 or$.S4—whicbever is
<br /> greater. For valuatioY�s over$1,000,�04 call the Building Aeparnneut at(952)249-�k600 for the pric�.
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<br /> ;, �� .,. .,:.;-:<<,������,�s����x�vu��;APPL�G,�TIQN�.a�����x��:�:.� ��,;'=a:�� �;;:�;.,<,
<br /> The und�signed herzby app�ies ta the City for issuance of a 1'lumbing permit, agrees w do all
<br /> work in strict accordance with the ordinanees nf tI�� Cicy and the regulations of the State of
<br /> Minnesota, and certifies that all statements mad� on this application are eomplete, true and
<br /> correct.
<br /> Applicant's Signazure: t � ������ Date; �3 `�� � �`' �
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