Laserfiche WebLink
.,.,: <br /> ti <br /> i � <br /> PE�tMTT FEE�A�,CULATTt�N�jS� ' <br /> �40��tate S#atttte ❑�eS 1�`hfs Section Applfes - , <br /> The Te�ISCCmCrit O��R�Siderihal fixture or a�liAuce that�ts all fhcee Of th��a1��W2z2�reql:ireTil�liLS: <br /> 2} Does nor require modification to es�rical�gas s�rvice. <br /> 2) Ha�a total�ost�f$Sti�.O{}or�ess;exclu i� the cost of th�fixture ar app�iance: <br /> �� <br /> 3j Ia im�'n'avecl,installed oi r�gIaced by iht Iic�meown�r or licensed caniracsor. t <br /> , <br /> 's <br /> Skip raext s�cti�n; Cos�of 3�emait S i 5.00 ' <br /> . �tate S�zrcharge$ .54 <br /> 1VI�ix-3x�F�e $ 1.50 <br /> If ahove c�aes not a�ply,ft�Iiow�.idelines below: <br /> 1. Contraet��e�is.t1�25°/a of job with a i1�lini�n�s�n JFee o#`($35.QiR� ; <br /> ,3,b� .�U x,(1I25 � 3 �7. sa , <br /> (cnntaact pric�} (minim�n$35.i't4)- .�,. <br /> 2.State SnrGttar�e.**Add the State Bui�ding C�de Division a ii�in�maun Fee�f f$ 541 <br /> 3;oeo•oo x.Qo�s � � • �� ; <br /> {con.traet price) (minimum$.SQ} € <br /> 3.Post�e aa�]E€andiia�{t1�dy rnaiI an appli�ar�a,3s} $ �.�� <br /> G.TC3TAI.,PERMT'Y'�'E�(Add lines 1-3 a�ove} �, �Q . J�� + <br /> 'CON'IRACT PRICE or J09 CC3S'I'trteans the actanI or�stimated dol3ar�punt charged for the pertrtitted work ir:ctuding <br /> n�-iaEs,Isbar,profit,and csther fixed:osrs.Ic is the ameunr m be r.karge�co che customtr far dte wark done.If any tta�erial� <br /> ecZuipment,iabot,ot instattatian is furnished by GhC awncr,tenant or any other party the reasor�abte m4rl:et value of�cte ituns <br /> mnst be added to tht astimated casi ot�cptttrzct ptiec for petmit ftc gurposq,jn the event that�nere is a di513utc on t�:e a-nou��4f <br /> the job cost,the Ciry t7s3y request thr submission of a sigr�eci copy of the�tuai coniraet <br /> '""'T:ie STA'I'E SURGH.4T�G�is.QQOS af ihe cantracc grice undu SI,Q40,4t}fl or�S�-at�;ch-ver is�rzatrr.Fr,r va�uatiaas over <br /> �1,4(1�1,Q(}Q ca13 the L�p�ttmeni of Inspertianal Services for the prie�. <br /> "T'he undersigncd hereby agp?ies Lo t�e G�ty 4or issuaitze eFa�riechanir,�!Pec[€zi�agrees Io do aii wc�!n Sttiet accardahCe cvitit <br /> the orctinances of the Ciry and#he reguiations of the Nfienescsra - ing Cocte,and cerrifies rhat a41 state�ents madc cn rhis <br /> &PF;ication are eamptete,Aue ar.d Correct. <br /> �� <br /> AppliCailt's Sirnatu,re• 17ate; / - /�� '; <br /> Appraved By: I?ate. <br /> 3 � <br /> i <br /> I <br /> [ <br />