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Au�-30-2001 10:30am From-CITY OF ORONO +A5224A4616 T-742 P.002/004 F-Z5A <br /> r � <br /> . � <br /> P�RMYT I�'EE CAY.CYTLA�IQ� . <br /> . 1. 1.2596 of�4�t�act rice* or �5 � <br /> r�� b x .0125 S • <br /> (coat,.xcc Qricx}. <br /> z, t t, u ar e. ** Add the State Buiiding Code Division <br /> . SurcLarge t,� each penait. __ x .t�05 $ • � <br /> {concract pciae) <br /> or $.50 hichever is greater <br /> 3, H ' (Only mail-in applicatioas) � <br /> 4, TpTAT, pERNlTF FEE (Add li� 1-3 above) $ .5� <br /> * CON?RACT PRICE or JQB COST me�os tb�acxual oc estim�ted dollac aaeouat ehuSed for t3�permitted <br /> arortc iacluding materials. Ubor, profit. and. �x fuced c�. It is the amouat.to be chuged to the <br /> cusco�r far the wo�c dasoe. If my macaisl.e9uipmaat.labor.or iascallariou ue l�uislud bY the ewr�r. <br /> ceautc or aay otba pany the reasonable markM value of such icems m�be added to the awaaad c�st <br /> or contract grke for permic fa puipous. Ia�he eveat tbat chere is a dispute oa the amo+�ac ef tlx job coac. <br /> the Ci►Y�Y�1��tha sabroisaion of a si�,�ed ec�►of the actua[�. <br /> � <br /> +w Tbe STATE SURCHARGE is .0�5 oi the oaeuaet grire �c Sl.{100,000 or S.SO - wl��uevar is <br /> jt,encer. For valuuioas evu 51,000�000 cs�ll the De�t�snt of Insp�ioaal Servicxs for the pricx. <br /> The uadetsig�d h�r�by agplies to the City for ' of a Plumbinwg Penait, agrees to do all <br /> work in strict accorda�x with the ordinances Ciry as� the regulations of the State of <br /> Mia�ota, a�d ccrtifies tbat all statcments de n tbis applieatioa are complete� true az�d <br /> correct. � <br /> • Date: �341d/ <br /> Applicant s Signature: <br />