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Jan-2�-2001 03:55pm Fro�-CITY OF OR1�V0 +9522494616 T-410 P-OD2I002 F-405 <br /> . � ' � <br /> �s�uMiT X'EF,CAI.CULA'I"IQN <br /> 1. 1.ZS;� nf C n a Pr tx* Or Minimntn Fee ( 5.{�i <br /> .f 7 vp x .0125 $ 3• �� <br /> {contract price) <br /> 2, te Surchar�e_. ** A�� S�� a�� Code Division <br /> surcbarge co each permit. � 7 o x .40b5 $ j 3.�S� <br /> or $.50, whichever is �eater (conuact price) <br /> 3. Pg� e a d �g (Only mail-in applications) $ 1.S <br /> 4. Tt7�TAL PERMIT FEE (�dd lines 1-3 above} $ 3 � `�. � <br /> * CpNTg,ACT pRICE or JOB COST means the actual or estiaa�ted doUar ouac charged <br /> for the pennitted v�'ark inc2ud�g ma��► labor, profit, and other fixed c sts. It is the <br /> amount to be charge9d to the customer for the work done. If any materi , equipment, <br /> labor, or instatlation are furnishtd by tl�e owner, cenant or any other party reasonable <br /> markec value of such items must be added to the estir�t�cosc or eoncract p for permit <br /> gee purposes. In the evcnt tbat tl�+ere is a dispute on the amounc of the job ost, Lhe Ciry <br /> �aay request thc submission of a signed copy of the aca►al cantract. <br /> ** The STATE SURCHAItGE is •0005 of the contracc price under $1,000, or $.SO - <br /> whichever is greater• For valuations over$1,000,00(3 call tt�e Deparaaent f Inspecrional <br /> Services for ti�e price. <br /> The undersigned hereby appiies to the Ciry for issuance of a Sprinklcr System Pe 't, agre�s to <br /> do all work in strict accordance �'►'ith che ordinances of the Ciry and [hhe regulario of N.F.P.A. <br /> 13, and certifies ti�at all statenients made on this application aze complete, tnie correct. <br /> , �(., / � Date: � �/3 a <br /> Applicant s Signature: <br /> �.,� � �� j / �/o � <br /> Approved By: �- .� Dace: <br />