Laserfiche WebLink
06/19J2012 23:02 Ax 7634775629 f�003/003 <br /> ' • ` � <br /> , •# <br /> . <br /> t <br /> s <br /> .4 <br /> ., <br /> ,.:. ,. <br /> :�+,� . �f <br /> ; ',•• • . • • <br /> �.. •• � <br /> .i <br /> i above does not apply;fotlow guidelinas below: � <br /> � <br /> 1. �ONTRACT PRIC�: +is 1.25°r6 of co�act pdce wi�$(Minimurn Fee of S 0 0) <br /> � "—� � x.0125$ <br /> ('�On�pri�) (mioimu SO.W) .� <br /> 2. S�A7'E CU CHARCG � •� <br /> � X.000s $ v :� <br /> ccomracc priae, ��; <br /> � <br /> 3. pOSTAGE&HANDLING(Only on Mail-!n Applications) $ 0 ,� <br /> �'►" ..._ 'I <br /> , 4. TOTAL PERMIT FF�(Add Lines 1-3 Abovc) � s�1 � <br /> .� <br /> • * CONTRACT PRICE or )OB COST means [he actual or esTimated dollar amount c ed for th� �� <br /> . <br /> � '� ` ^ ' permittr�d vvotk including materials,lebo�,pro$t,and other fixed cosrs, lt is the emount o be char ged ' <br /> k�the customer for the work done. lf eny matorial,equipnton� labor or insmllations H rnished by �� <br /> the owner, tznant or any other party,the reasonable mark�t value of such it,ems must b a ded to the <br /> estimstod cost or convact priec for pern�it fee purposcs. ]n the event that there is a s uta vn chc �� <br /> amount of the job oos� Che City may request lhe submission of e signed copy of the a I eontract. :� <br /> �'� <br /> .E <br /> �ins!.�° <br /> ''�3�''�',i:�4�r1•.n• �.��• �r;�x',h.3•,�.:�,.,.,p•:..�4:, '� <br /> i <br /> •!+K <br /> [ <br /> Th undersigned hereby appiies to the City for issuance of a Plumbing Permit, ag e to de ail <br /> w rk in strict accordance with the ordinances of the City and the regulations of h State of <br /> M neSbtS. and certifies that all statements made on this application are cample e. true and <br /> co ect. <br /> ,� <br /> :� <br /> A licant's Signatu e: ►�4�- _ pate: u' L' �� <br /> P ._.,� <br /> '•� • :���•�„•••�:�:'.;��' ,�d� �;� <br /> i• o� �.. ,x0:�l�a <br /> :f:'� �����."'; , <br /> • .:i��. .;.at..�.:�wy.�� .. ..$kl. � yr <br /> � <br /> .� <br /> .� <br /> .Z <br /> ; <br /> :� <br /> '� <br /> �� <br /> .� <br /> { <br /> � <br /> �� � <br /> :� <br /> �� <br /> 3 :� <br /> .x <br /> :� <br /> ' � <br /> I �I <br />