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Mar 27 03 02: 27p KOTT PLUMHInG IhC 651 342 0340 p. 2 <br /> � Nar-�Tr2003 02:06pm From-CITY OF ORONO +852T484616 T^15B P.003/003 F-034 <br /> �Sp��;�'F (`ALGU�.AT O S <br /> �nn�_ cta� S4'�t�te ❑ Yes� This SectiOn ApplieS <br /> The cepla�enlent of a R��"�"n 'a�l f�cure or i tl�at meets all threo of tbe followit�g <br /> requiremetus: <br /> 1� p��ot roquire modification co electrical or gas service. <br /> 2� H��to c�of g5p0.00 or less; clgg udi���st of cbe fixture or applian�e: <br /> and <br /> g� u impraved, instailed or replaced bY the bomeowner or liccnced corm'actor. <br /> Cost of Per�nit $ 1 S 00 _._ . <br /> Slcip next section; .50 <br /> Stace Surcharge $ <br /> Mail In Fee $ t 50 <br /> If above docs aot apply, foUow guidelines below: <br /> �ce* is .0125 °�b of jvb with a Fe�e o 5.001 <br /> 1. ��4��- od <br /> 6�4°Q x .oi2s S 7� <br /> (conu8ct priee) (mioimum 535.00) <br /> . 2, Sta Surc¢�r, ��e. *" Add th�e Statc Suilding Code Division a (MiniYaum Fce af� •50) <br /> �Ol/O� x .0005 $ �o . <br /> (contrac�piice) (minimwn S .50) <br /> �a*s� aqd�n�C '� (�n1Y mai!-in applications) $ i.SO <br /> 3' oD <br /> 4. TO��p�g�T�E (Add lines 1-3 abov�) <br /> � <br /> * CON'I'[iACT PRICE ur JOB COST mwas cbe ac�ual or estimated dollar amount cl�arged for tbe permisted <br /> worlc ipclndin8 mauutials,labor.ProCu,a�other Qxed coscs. 1t is du amount to be cai.irged to tlu castomer <br /> foc�e work done- If any material.�iPm�at,laUor.or installstioa are furnisbed bY the�'�T�t�or <br /> �y o�e�pxcry ttie ressoaable markec valu�e of such items must be added to du esdIDated oou or contspc� <br /> pYice for percnit tee pucPoses. in tbe event that fi�ese is a dispuu on tbe amount of[l�e job cos�,the Cicy may <br /> requcst tbe submisaion of a sigaed copy oE tbe acn�al cva�acc. <br /> *s -[he STAT�'s SURCHARGE is.0005 of ihe co��P��r S1 Ser�n'ces for tbe pr�whichever is gxeatcc. <br /> For valuarivag mrer a1.000.000 call the Dcp P�OII • <br /> hereb a lies to the Ciry for issuance of a plumbing Pe��► a� t° do all <br /> 'The undersigned Y PP <br /> work in strict accordance wirh tbc ordiaances of the Ciry and� n�� m le�uue an�d <br /> M�o�, az�d cettiSes that all statemenrs made on this apQ P <br /> correct. <br /> �c� �(�� Date: . ' � � <br /> pppticant's Signaoure: _ � <br />