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M�y-30-ZOOI 93:10am Fromd ITY OF ORONO +�g2246�516 T-133 P.006/O�t F-i96 <br /> � <br /> 1. 1.25��of��r'acL Pricc* ar 11�u�um �'ee (�35.00) ?-�70°� <br /> /�o��vo � .�1� $ <br /> (eannact prica} <br /> 2. S'I�pe S�charge. ** Add the State $uildir�g Codc Division ,o <br /> � Surcharge.t0 each permit. /�0 ppp � � '.0005 $ �� <br /> Ccar�tr�ct psicx) <br /> or $.50, whiche�ver is great�r <br /> 3. PastagG aad HandtirL (Onl�► maii-in applications) � � �,�Q <br /> 4. TOTAL PBRMIT FfiE (Add Iincs i-3 abrn►c) $ ��G/•50 <br /> * CQNTRACT PRiCE or]OB COST tn�a the�cWnl ar estixoated dollbr amotr�t cherged for the pe�itted <br /> wotic iaciudla,� macerleis, lubor. profit, and other fr�d, costs. [t it t1u amauat.to bc charged to me <br /> arstomet far tba woslc done. If�y�uerial,equlFm�t��abor.or insta�tuiop ate t�traished by the owner, <br /> senanc or aay ot�sc p�rty the reasanable marlcsc v�of aueh itcros�t be�dd�to che escimated cosc <br /> or coatr�ci pisce for paa�t tee pvrposea. In tl�a oveot�at tbace is a disputa oa tba eucaowtt of the job casi, <br /> the Clry may r�quest ibe rubmisslcxt o!a sigaed copy oi tbe acttu►i ooatract. <br /> . � <br /> wN The STAT� SCTRCHARGB Is .0005 af the coatract prfca nador$1,OOO.QOa or S.S� - whiehovcr ss <br /> grester. �ot valpatioos avor S1.00O�Q00 caii the Departmeat of tnapectia�al Servl�ea !bs tha p�ice. <br /> The nadersi�n�d hereby applits to th�Citv for issuancc of a Plumbing Pernut, agrees to d�all <br /> work in sai�t accordance with the ordinaz�ccs of the City and the ��utations of the Stata af <br /> Minnesota, aad certifies that all statemeuts made on this applicatioa are complcta, true and <br /> correci. ' � � <br /> Applicant'sSsgnatune: ` �� ''''' Date: Gl� �oo/ <br /> �, y� �'L�� � !z —�A <br /> Y' <br />