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CITY OF ORONO � 6122494616 10/20J99 14:35 � :03103 N0:393 <br /> . <br /> P�R�vll'T F�E CALCULATt011' <br /> 1. I..ZSa6 of Contr�ct Price" or j�n �m F . ( �5.00� <br /> ��`iCC�, �����' x .0125 $ �� • "1 <br /> {contsuc price) <br /> 2. � 5u arQe. "* Add the State $uildiag Cade Divlsion <br /> Surcha�ge to �ch pann;t. ���(l, ,>>�� x .0�05 S �,�'�`� <br /> {ooatrect price) <br /> or S,SO, wh3chev�r �S greacer <br /> 3. Posta�e and Hand2inQ (Only mail-in applicetions) � �.�- ._._. <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 ebuve) $ —�:," � <br /> � OONTRACT F'R1CB or 7(?B COST ausas ihe actnW ar�stlmated dollar amount ch�rgcd for t�e permitccd <br /> work itrluding auteriale, labor, profit, a:�d other fizod coaa. lt is the amount to be chazged to thr <br /> � cns;omcr for thc wvrk doae. IPany matuial,equipmcnt, l�bo�,or�sca!lation�re fn.�tished by the awner, <br /> tanant os aay ollur p�rty ehe rea3tr�nblo m�:ket valua of rucb items mua:be added to thc satimated aisc <br /> or ooauact pricc tor permit fa purpa�es. [n tae evrnt that thuc is a c1�ap�.e on thti tmonnt of d�c job coas, <br /> the C�ty caAy nq,ieat tha subrtii�ston of�s3s�ec3 copy of t6e actual contract. <br /> *'� 'Tht 3TATL SURCHARGE is .OQQS ef the coatract price under �l,OQ0,OQ0 or S.SO - whichever iy <br /> 6rc�ter. Far v�luations over S1,OOb,000 adl the Depxrtmeat c+f Jnspa�iona? Scrvi�es Por the price. <br /> The undersigned her�by app]ies to the City for issusoce of a plumbi:� Permit, a�ees to d�a11 <br /> w�r� ua atr�cc acco�aa:� w�t�. t��,- o:�iaa.�ces of t�e Ciiy and t3�e regui�cions of-t�e St�c� af <br /> Minnesota, aad ecr�ifie� th�t at1 statemctiLs made on this agplication a�re cumpltte, true and <br /> �orre�t. <br /> t4pPlicant'g5ignature�,1.L�.�--��.�l�Z��,�',� Dete: - <br />