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�CiTY OF ORONO � 6122494b16 11/16/99 10:32 �1 :03/03 N0:828 <br /> � <br /> ��������� /` �� <br /> 1. 1.�5% of�ontract Price* or � _�`�; <br /> L�-,_� f>t' x .0125 S ��5. <br /> (caatr�t pdc�) <br /> 2. S�te 8urchnr¢e. *'" Add thr State Build'utg Code l�ivtsion , <br /> S�charge to cach permit. ���;� � �'`� x .Q003 S /� � <br /> , � � <br /> �(eoturicc prfce) <br /> or $.50� whic�,ever is greaEer <br /> �• P4�SS��and Ha�d_� (pnly maii-in applicatioru) $ 1•SO <br /> 4. T�TAL PF.RMIT FEE (Add lnnes I-3 above) � � � 7 s�� . <br /> !� CONTRAC?PRiCB or]O�COST maana rhe actna� or es�imnted dollaz amount tharged for the pamlttcd <br /> work includinf macrsl�ls, labor. prqfli. artd othcr fked coscs. It is the atnaunt to ba cb�r�ed ta tha <br /> cuatomer for tlre worlc deue. If any macarial, equlpment,tabar.or fn�callaeion ue ft�rnished by the owaer, <br /> iatSint or itly 6thEt� !h� ftai��31e mailcQ Yn�stG 4�f Alcb itetit� �7t2St bC A�Cd l0 thC Citimatcd coat <br /> or cantcacr price�or permic fee purpaaes. 1�tho eveat that there�a a dispuee an the amouac of the job coac, <br /> • th�Ciry m�ry �equest tha avbmlaaiaa af a si�ned capy of tbe actual contract. <br /> +* The STAT� SURCHARG� is .D003 of tha contract prica undar S1.00O,OaO ot 5.30 - whlchever ic <br /> �reaue. FOr v�tu�cie�t over;1,000.000 ca11 the peparcment oP Inspectional 5trvicca far thc price. <br /> Thc un,deraignod heccby applies ta thc City for issuance of a Plumb3ng Peronit, agrees to do all <br /> work i.n strict accardamx with the ordinances. of the City �nd the rcgvlations of the 5tate of <br /> �sota� and certifies th$t a12 atutements made on thls application are complete, true and <br /> correct. <br /> AAplicanc's Signature; � L ,' !/� ��,.-% Date: ��. <br />