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GITY OF ORONO � 61z2494616 10120J99 14:35 [� :03103 N0:393 <br /> P�`.R1�[iT F�R [�si.r►n.eTrn�* <br /> 1. 1.25% of Cantrac.�t l�rice'� or �m Fee (S35.001 <br /> ����'�GCx� �L x .O1Z5 $ �'��G-L�, <br /> {c.ontrsec price> <br /> 2. Stat�5urchar,��. *� Add the State Buildssig God� Division <br /> SurCha:ge ta each pe:mit. __`�� ';�t� � Q` x .0005 $ � � <br /> (contract price) <br /> or S.�U, whichever i� great�r <br /> 3. Posta�c anct HandlfrL (pnly meil-in agplicetio�s) $ <br /> 4. TOTAL PERMIT FEE {Add ]in�s 1-3 ebuv�} � <br /> • CUNTRAG7 PRiC6 or 7�B COST mcens the aetaa! as est!metrd dolier amouna chargGd fior t�e permit;ed <br /> �vork lnciuding ma�rriale, labor, proftt, utd other fued coata. Jt is the amount to be charged to the <br /> cns!atnct for t?�e work donr. IPany naterial,oquipmcnt, l�bor,ar inscaltatIon�re fu.*nished by the owner, <br /> tcrutnt or aay otbcr perry ibe ru .blc m�;.kes v�I�u of�uch icr.m� r.,u4t he a��d w ch���,�m�tcr.1 cosr <br /> or ooutract pricx for permit fet pur;�:�e. [n t;�e oveat that thct�e is a ciiap�tc on thc amo�:nt of tf�e job coac, <br /> the Criy c�y ny-;ku tha eu�.:l6slon of i sigped rngy of the actual cantrarc. <br /> *'+ 7'tte 3TAT� 5URCHA3tGE is .0(305 cf the cnatrect price under al,(3�0,000 or S.SG • whi�hever iY <br /> arater. For v�luN�ious over S1,OOU,C�pO p�Ii tltc peputment c�f lnspa�iana'. Servias for the prico. <br /> The i:.�iersigned hereby app�ies to the City fAr issuance of a PI�mbi� Permit, agrees to do atl <br /> work in str�ct accordauco with the or�inances ef tt�ee City and the re�ul�dons of�the State of <br /> Min�e�nta, end cc�tifles that atl siatem�trts made on this application are comp�ete, tive and <br /> correct. <br /> d <br /> i <br /> ApPiicant's Signature; / ,�-����iG(/��it Dete;/ , o O- � <br />