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<br />~~i <br /> <br />~: 1Wll1l -.J<J IV I <br /> <br />(61.:; 296-4639 <br /> <br />BUILDING PERMIT SURCHARGE REPORT <br /> <br />Exhibit B <br /> <br />Quarter Ending Vel' <br />(POPULATION 20,000 OR LESS) <br /> <br /> <br />County <br /> <br />Telephone No. Clnclude AI'8I Code) <br /> <br />Addr811 <br /> <br />City, State, Zip <br /> <br />Name of Building Officie' <br /> <br />B.O. Certification Number <br /> <br />Telephone No. (include AI'8I Code) <br /> <br />Type of Building: Number of Number of A1IOthitr <br />New Building. Units Valu8tlon Permits Iuued Valuation <br />One and Two Family Dwelling <br />Multi-Family Dwelling <br />Commercial Building N/A <br />Industrial Building N/A <br />Institutional Building N/A <br />Total <br /> <br /> (F.. More Than .1000) <br />pe of Permit: Number of Number of <br />Permits lobi Permits Fee lobi <br />lumbing Times 50~ Times .0005 <br />Electrical Times SOt Times .0005 <br />Mechanical Times 50t Times .0005 <br />Building Times 50t Times .0005 <br />Other Times 50t Times .0005 <br /> Total $ Total $ <br /> Total part "A" $ <br /> <br /> <br />The surcharge computation is based on the permit fee. <br />Surcharge equals .0005 of each permit fee, or SOt, whichever is <br />greater. <br /> <br />PART "A" PERMITS BASED ON FIXED FEE: <br /> <br /> <br />PART "B" PERMITS BASED ON VALUATION: <br /> <br />The surcharge computation is based on the valuation of construction, <br />and permit fees are basd ~n actual cost of construction. <br /> <br />Where Valuation of <br />Construction Per <br />Permit Issued Is: <br />$1,000,000 or Less <br /> <br />. $1.000.000 to $2.000.000 <br /> <br />Number of <br />Permits <br /> <br /> <br />TobI <br /> <br />$ <br />