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02�19/2013 12:45 9 4969964 APPLIANCE CONNECTION PAGE 04/04 I
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<br /> Yf above es apply;fo114w gwidelutes below: �
<br /> � . C CE •is I.ZS%of cu�tract pdce wi�h a(Mlnlmam Fee of 5�0.00).
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<br /> . � x.01255 �
<br /> ' tmoaacc a;o�) � - (miaumum sso.00)
<br /> � GE *s Add the Stau Bldg Code Div.SuQcharge(11�iaimwn Fee ofSs.00)
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<br /> ' � x.0005 3 ' �•
<br /> (�1�)' (�s s.00)
<br /> � . PO AG 8t NDLING(Only on Mai1-la A,pplications) S 2.00
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<br /> � �T AL RIY�IT FEE(Add Liines 1-3 Abovc) S �
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<br /> 0 2�'19l��1? ':': �t_. 9 R�or JOB COST m�aas the;�acpual-��;;dallar-�a�ao�rot cb�g,ed for thePA�E H=1,'�4
<br /> ��$m�ia�s,labor Pmfrt,auod othez fixed aosc�..It is ihe amount to'be cha�ged
<br /> to er for the wa�[kk d�c. If an�r mata�ial,ecluiPme�t,laba or iwslal�abops are fiani.qhhed by
<br /> the er, or a�ryr otlu�p,a�ty�tbie reaso�able�rket value of such items must be addcd to the
<br /> or trac�price for permit fee purposes. In t5e Cvent that there is a dispute on the
<br /> � �, t � ,;o the City may requesc�e.sab�nission of a si�ned cvpy of"cbe actu�l�oatracc.
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<br /> '■ ** ST TE SYJRCHARGE is.0005 of the oonuaet price tmder SI,000,000 or SS.00–whichcv�a is
<br /> ( :- v�aa4 over 51,000,000 catl the Buildiag�cpartmau at(95�249-4600 fo�the price.
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<br /> The imd ' hereby applies m the City for issusuce af a Plumbivag�erm�it, agrces to do all
<br /> work in ` '" -w�th the�ordi�ces of�he CiRy and the regutataori�s°o�'rb�e Sia�kbf
<br /> 1VXinaes certifies t�at all stateme�ts made on this application are comple�te, tnle a�d
<br /> correct.. �_ ,.. _ �.._
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