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ti <br /> dct-Bb-2003 02:46pm From-CITY OF ORONO +9522494616 T-238 P.003/003 F-329 <br /> PERMIT FEE CI, ULAT N <br /> 1. 1.25% of cont a ' or 11�ininnum Fee ($35.00) <br /> X .0125 $ ,3a9• 143��y 37t' - <br /> (contract price) <br /> 2. State Surcharge• ** Add the Sta a Building Code Division 05 $ L .Surcharge to each permit. <br /> x or $.50, whichever is greater (contract price) <br /> ) <br /> 1.50 <br /> 3. P s� ta_gg. a% .and i $(Only mail-in applications) ,3 d..3� <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) <br /> CONTRACT PRICE or JOB COST means the actual or estimated amountts. It chs rged <br /> for the permitted work including materials, labor, profit, and other fixed <br /> costh <br /> amount to be charged to the customer for the work done. If any material, equipment, <br /> er <br /> arty <br /> labor, or installation are furnished by the owner,estimated cost ortpcontract price for permit <br /> e reasonable <br /> market value of such items must be added <br /> fee purposes. In the event that there is a dispute he thealmount ntraofthe. job cost, the City <br /> may request the submission of a signed copy <br /> - <br /> ** The STATE SURCHARGE is .0005the <br /> lOO,o00 soprec Tonal <br /> wwhichever is greater, For valuations over$1000,000 all the Department <br /> Services for the price. <br /> inkler <br /> em <br /> The undersigned hereby applies to the City for�Ces of the C tyuance of a ra d the retgulations of NgF P A <br /> rees to <br /> do all work in strict accordance with the or <br /> 13, and certifies that all statements made on this application are complete, true and correct. <br /> r Date: $-5—x'2 <br /> Applicant's Signature: Al�� --� - <br /> ,��� <br /> Approved By: __ Date: <br /> QCT-05-2003 14:40 +9522494616 98% P.03 <br />