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z �au�;3-Z001 03:55pm From-CITY OF UkONO +9522494516 T-410 P 0�2/002 F-405 <br /> ' p RIV�IT FEE CALCi.JLATI()N <br /> 1. 1.25% of Contrac Price* or Minimu Fe� ($35,� <br /> Ir�. `� a�7Sc:: ' _ x .0125 $ °i �`�`� , 3fc'� <br /> (contract price) <br /> Z. State Surchar�e. ** Add the State Building Code T)ivision <br /> Surcharge to each permit. _ 1 �`�t�� ��=�� x .0005 $ �`}"• -� �� <br /> or $.50, whichever is greater (concxact price) <br /> 3. Posc�g.e and Ha�� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMTT FEL (Add lines 1-3 abo�e) $ �� 415 � 2�= <br /> * C�NTRACT PRICE or JOB COST means the actual or estimated dollar amounc eharged <br /> for [he permitted work including materials, labor, profit, and oth�r fixed costs. It is the <br /> amount to be charged to the cuscomer for the work done. If any material, equipment, <br /> labor, or installation are furnished by the owner, tenant or any other party the reasonable <br /> market value of such items must be added to the estimate�cost or contract price for peiznit <br /> fee purposes. In the event that there is a dispute on the amounc of the job cost, the Cicy <br /> may request the submission of a signed copy of the accual cantract. <br /> ** The STATE SURCI�ARGE is .0005 of the contracc �rice under $1,000,000 or $.50 - <br /> whichever is greater. For valuations over $1,�OO,Q00 c�ill the Deparcment of Inspectional <br /> Services for the price. <br /> The undersigned hereby applies to the City for issuance of a S��rinkler System Permit, agrees to <br /> do all work in strict accordance with the ordinances of the Ciry and the regulations of N.F.P.A. <br /> 13, and cercifies that all s ents made on this application aie complete, true and correct. <br /> � <br /> Applicant's Signature: � _ Date: p �� �� <br /> Approved By: '�_-� .�t�'`�"" _ Date: `�� � ° Z �� / <br />