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�ar-1T-20�5 03:ZOpm From-CITY OF ORONO +9522494616 T-719 P.004/004 F-819 <br /> . �";i�f''�,� 1R;r''�w:�, �p ��,,�7� �7� �y�� A�I ('��r IT [� /�^(� @ /� �/� •�, <<c � <br /> ` '; ' �p`i:L�C�hu�"a-I,,�'��1�C�"+�..CL'I;i;.���y�,V����� �!^.•r�O�h•1'•4�,.Y'1'+���R:��W��'Vd�,a'•� �.4`I:.d. <br /> 1f above does not apply;follow guidclines below; <br /> l. CONTRACT PRICE *is 1.25%of con�act price with a(Minimum�'ee of$35.00) <br /> �l���� `""�' x.0125$ <br /> � (conuaccpriec) � (minimum$35.00) <br /> 2. STA'Y`E ST_TR,CHARGE **Add the State�ldg Code Div.Surchar�e(Minimu�n Fee of 5.50) <br /> x.OQOS $ <br /> (conUaci prica) (minimum S .50) <br /> 3. POSTAGE&HAND�,ING(Only an Mail-Tn Applications) $ 1.50 <br /> 4. TOTAL T�171l�I�'�E(Add�ines 1-3 Above) $ <br /> • * CONTR�►C7,' PRIC� or JOB COST means the actual or estimated dol)ar amount eharged for the <br /> permitted work includzng materials,labor,proftt,and other fixed cosu. It is the amouzit to be charged <br /> to the customcr for the work done. Lf a�y materis.l,equipmen,t,labor or installations are furnished by <br /> rhe owner,tenant or any other pany, the reasonable marl�et value of such items must be added to the <br /> estimated cost or eonuact price for permit fee purposes. Zn th� avent thai there is a dispute on the <br /> amount of rhs job cost,thn City may rcquest the submission of a signzd copy of thc actual con�act. <br /> ' **The S'�AT'B SURCHARGB is.0005 of rhe contract price under$1,p00,000 or�.50—whic�ever is <br /> greater. For valuatioUs over�1,Q00,000 cali the Buildiug Deparnnent at(952)249-�+600 for the prica. <br /> ;�' �,� •.F. ,� �., .� , . <br /> '` �,: �.,�-,��,;�'�'�'��N'��:�E�'�;n_eP�C�►:rTQrI�A.G���A��:x.;=;,:' =�;;-�:` ;,,:x <br /> The undersigned hereby applies to the City for issuance of a plumb�ix�g 1'ermit, agrees to do all <br /> work in strict accordance with the ordinances of thE Cit}� and zhe regul�tions of the State of <br /> Minnesota, and certi�es chac all statemen�s mad� on this applieation are eomplete, �ue and <br /> correvt. <br /> !/�' <br /> Applicant's Signature: � � �s-(',�--- , d G i Slzr nate; �- �' ��-�� <br /> 3 <br />