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AuQ-2�-2�01 03:55pm From-CIiY OF ORONO +9522494616 T-o90 P 0�3/0�3 F-531 <br /> pER,M�T_k'E� CA.Y.C�.ATION' ' <br /> 1. 1.25 010 of Concract Price*'or Minim��,n Fe�� 3�A _ <br /> ��5�(;c� x .0I2� $ '�`��;, , �'� <br /> (�:ontract price) <br /> 2. State Surchar�e. '�* Add the State Bui�ding Code Division <br /> Surcharge to each permit. ��� `�1��``' x .0005 $ 1� �--�`� <br /> or �,54, whichever is greater (cc�ntracc price} <br /> 3. Postage and HandlinQ (Qnly mail-iri applications) $ 1.50 <br /> 4. TOTAL PER'v�IT FEE (Add lines i-3 above) � �'?�,, -�? <br /> * CONTRACT PRICE or JOB COST means cb,e actual or estimated.dollar amount charged <br /> For the permined work including mat��:ials, labor, profit, and other fixed costs. It is the <br /> amount to be charged io the customE�r for the work done. If any matecial, equipment, <br /> Iabor, or installa[ion are furnished by the owner, tenant or any ocher party the reasonable <br /> market value of such items musC be adcied to the esti�ated cost or contrac�price for permit <br /> fee purposes. Tn the even[ that there is a dispute on the amount of c.�-�e job cost, the Ciry <br /> rnay request the submission of a sign�d cop,v of the actl:al contract. <br /> ** The STATE SLTRC�Z�RGE is .000,� of the concract price under �I,aao,000 or �.50 - <br /> whichever is greater. For valuations �>ver 51,000,000 call rhe Deparunent of Lnspectional <br /> Services for the price. <br /> The undersigned hereby applies to the Ciry fpr issuance oz a Sprinkl�r Syster:� pernlit, agrees to <br /> do alI work in strict accordance with the ordinances of the City and the regulations of N,F.�.A. <br /> 1�, and certifies that all statements made on this appiication are complete, tn:e ar.d coz:ect. <br /> __.-� - <br /> _. <br /> - ,_____. . <br /> Applicant's Signature: �..... —'' - - �� bate: '' -- Z � - � <br /> - ��--�- , <br /> Approved By: ��-�'��-- ���-u- Da[e; j � /�2 a i <br /> p/t.o�u� C�P7 /1.�ri9-..ve�v �Y 1��orti4�t,s�-� ,�.-.�7-�L <br /> �°�(�`� ��� �6 �D' <br />