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SUITE #
DESCRIPTION OF WORK: gset /41/4, e Al 5 ye -77
CONTRACTING COMPANY: A\ 7 (9_
ADDRESS: n_ 5. A- I ki
CITY/STATE/ZIP: //vvfi.7&
PHONE NUMBER: pi? _ 7 3 7 __ /a Q z�
AMOUNT DUE
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PERMIT FEES
EACH TRADE
$ 33.25
$ 49.88
$ 63.18
$ 76.48
$ 83.13
$ 89.78
$ 96.43
$ 103.08
$ 109.73
$ 120.37
EACH TRADE
$ 37.00
$ 17.50+.035 PER
$ 3.500.00+.03 SQUARE
$15,000.00+.02 FOOT
EACH TRADE
$ 37.00
$ 32.00+ .01 PER
$ 182.00+ .007 | SQUARE
$ 582.00+ .003 FOOT
EACH TRADE
$ 37.00
$ 45.00
$ 57.00
$ 72.00
$ 27.00+ .009 �
$ 127.00+ .007
$ 327.00+ .005 [ DOLLAR
$ 1.327.00+ .003 | VALUATION
EACH TRADE
$ 37.00
$ 37.00
$ 37.00
$ 37.00
$ 37.00
PERMIT # //_ 77
BLDG. PERMIT #
PROPERTY
ADDRESS:
CITY/STATE/ZIP:
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PHONE NUMBER:
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BUILDING AREA
TYPE OF OCCUPANCY
(SQ FT)
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HOTELS, APARTMENTS, 501 - 100,000
DR|NK}NG/D|N|NG, 100,001 - 500,000
EDUCATIONAL, ASSEMBLY, 500,001 +
INSTITUTIONAL
III. 8.F.H.M.S.0
OFFICE, RETAIL, VVHOLE8ALE, 1.- 500
GARAGES, FACT0R|EG, 501 - 50,000
WORKSHOPS, SERVICE 50.001- 100.000
STATIONS. WAREHOUSE 100.001+
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CONTRACT VALUATION OF WORK:
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