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02/@6/2005 14:31 6513651457 JANECKY PLUMBING PAGE 02 <br /> Jun�O�t002� 11:29a■ Frow-CITY OF ORONC t9522494616 T-414 P.002/00x F-266 <br /> , /3S''� � jc',�a �' �o ��' <br /> Pi�� � CAr.Ctn•ATiONlS1 C� ►�L C� <br /> Z002 8tate s�g [] Yee, Thia Sectiooa�App�ee <br /> Tbe r�plaeem,c� o;f a lteside�sl fixa,�re o�,�,polies� that mects aU [hree. of the following ' <br /> �qil1I�T5: <br /> 1) Does not rcqiuis+e modi�'ica�ton�o�lcctr�cal ur gos sarvice. <br /> 2) Has a to o�$500.00 or less; e c ' tlac cost of die fixture or ap�liance: <br /> aud <br /> 3) I� impxoved, insta�t�d ar replaced by the hom�eowner or liceaced conuacCox. <br /> Skip next secdon; Cast o�Parmit � 15.00 <br /> State Surcbarge $ .SO <br /> Mail Ia Fee $ 1.50 <br /> If above does not appl,y, fnllow guidelines below: <br /> 1. Cmdract Pric.e* ie .0�.23 9� of job with a Minimam Fee of(535.00) <br /> ����b 6.� __ x .O12S $ � ���" <br /> (conaacc prico) (minim�m�3s.00) <br /> 2. �tSftA SLtlMhar►�n_ �� � the St�te BttildiD,g C��iVi�ion a (Mintr�p,u41 Fee Of� .50) <br /> x .0005 $ � D d . <br /> ., <br /> (CO�IIt[aCL�CE�� (mini�m�m $ ,� . <br /> 3. (Only mail in ap�lications) $ .,�_ <br /> 4. TOTAI+PExtMY'Y'lp'�,'S (Add 1�.O,Q8 1-3 StiiW) $ �O � . �9 � <br /> * �bN1RACT PRiCfi or�JOB COS�'mcaa4 chc aca�sl or estima�ed dollar amotmt charged for the pet�oodt�d <br /> work includ'mg�aateciels,labor,Prcflt,aad other fi�ced rnsrs. u is che amo�t to be char�ed to tbe cusmnoer <br /> �or dro work doue. It�try mat�rial,equi�mer�e, labor�or iasrauaricu are l�rnisbed by the ow�,er,cer�c or <br /> eny o�et parry t6e rsss4nable merke[velue o��uch icems m�t be added[o d�e eStisl3ated cost or c:o�raet <br /> price t�r permit fce pwrpios�s. ��t�e evettt thai tLere is a dl�e oa�he amowu of the job�09�,q�e Ciry may <br /> request the submission af a stpoiM copy of thE actual coar�ct. <br /> '"* The S'TA'Tf SURCHARGH le.0005 of ffie conoraict,price u�der$1,000,000 or S.SO-whicbever�s�roa�r. <br /> Fox v�luations over�1�q�.000 call�Deps�tmeet of Iaspectfion 8�N�ces for the price. <br /> The uAdersig�td h�ereby s►�lies to the City ft�r issuance o�a Ph�mbing Permit, ag�s tgo do all <br /> ti+vo�k iu suict s;ccordaace �ritB the ordinanecs of the Ciry and tl�s regulatious of the State of <br /> Minaeaot�, aad certi�ies t�t ail �tatemenrs mad,c o�a this applicatio� �ace comp]ece, ave aad <br /> corre�z, I <br /> AppliCaai's Sig�a,Nre: �: � ^ �� <br /> ,,. <br />