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Nov-1B-2008 09:23am From-CITY OF ORONO +9522494616 T-053 P.003/003 F-425 <br /> I I � �1 ry' <br /> lf above does not apply;follow guidelines helow: <br /> 1. C4NT1t,4CT�'ItXCF. *is 1.25%of contraet price with a(Minimum Fee of�35.00) <br /> p� �- G�/ <br /> /� �7 � • (50 x.0125$�S • �v <br /> (conuact price) (n,inimum$35.00) <br /> 2. S1'ATE_SURCHARGE *�Add the State�Idg Code 17iv.Suroharge(Miuimum Fee of�.SQ) <br /> x.OQOS $ �f ' � � <br /> (conR&tt pricc) (minimum$ ,50) <br /> 3. 1'OSTAG�&�TANT)LING(anly on Mail-Yn Applicaeions) � _ 1.50 <br /> 4. TOTAI.PLRMIT FEE(Add Lines 1-3 Above) $ �� � - d d— <br /> • * CONTRACT PRTC� or JOB COST meAns ttte acivaI or esrimated dollar amoi�nt chs;r�ed for ehe <br /> permitted work including materials,labor,profii,and ather fixed cosrs, It is thc aruount to be charged <br /> to the customer for the work done. Tf any material,equipment,labar or instaltations are furriished by <br /> the owner,tenant or any other parry,the reasonable market value of such itams n��ust be added zo the <br /> esiimared casi ar concract price for permit fae purposes. In the evznt thaz there is a dispute on the <br /> amount of the job cost,the Ciry may r�quesc thz submission o£a signed copy of�he aceual contraet. <br /> ■ �* Thc STATE SURCHARGE is.0005�f the cantract price qnder$1,000,000 or�.50—whichever is <br /> greater, For valuations over$1,OOO,Q00 call the Building Deparpnent at{952)2a9-�F6U0 for the price. <br /> i' p�p� <br /> � i� _ � �I h115�'IdIN <br /> The undersigned hereby applies to the City for issuance of a Plumbin�Fermi�, agrees to dp aU <br /> work in strict accordance with the ordinances of the City and the re��larions of the Seate of <br /> Minnesota, and certifies that all statemei�ts made on this applieation are ec�znplete, true and <br /> correct. <br /> Applicant's Signature: 9V� Date: � <br /> t � p <br /> 3 <br />