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. , 3 FAx ��347�fi629 <br /> 1211212012 �03� .. <br /> i •,�,:: •.�,.:"��i''•� <br /> •�1Y��J{r�i <br /> 1 <br /> I <br /> ' � uidclines below: ►nim�m F�o�$50.00) <br /> • , ..• �ot aPP�Y;fulloW� riu w ith a�M� �� <br /> l F ebove docs p � �i�1�,�/a of aon�p <br /> � �, �CON K.p� ,� � x.0125$_.•�m Imum 55o.Do- <br /> I I ��ncnc[Pricel <br /> ,I �p <br /> � , '/phh� _X.�005 $� <br /> � � S 1 A S iC ARG LJ(�i� <br /> Z• ��o►n`ec v�0 �00 <br /> 1 I � lications) �' <br /> L�G,(Only on M��'In ADP � � <br /> gl ppSTAGE&H�� $ <br /> � I Lines 1-3 Abm+a) . tha <br /> ,�. 70TAL PE�1T FEE(P►dd ; e,timatcd d�11�' �rnount charg�'FO . <br /> s the t�� °; it is�B amount to bc ch gb ,E;,,a � . , , <br /> I ��� COST mean furn►sh <br /> PR►� or]OB rofi��►�other fxed���r-iwsta11�1ons are addcd. 2__ <br /> � C��.tT1ZACT labor.P �e __�._,_,. . �._ <br /> � matcri�g• ��al.oquiDment,�a�'gucb itoms muat b� <br /> � ecdiittcd tno a�+n� <br /> p �of.toi��wo�rk dene. ��BroAsonabl8 ma�°c value of• �,�there is a d�spute n��e <br /> �I�:;'� ; ' ! W c e ewoc> otbor p+►dY• pf ihe actua► traCt. <br /> tonsnt or spY a��for potts�lt teo putpos�s. ln thc o�tt+t <br /> �he ow��er• ma ��u�t�c submission of n signed�pY <br /> �g�matcd cost or co� <br /> armourt of the Job co t.the City y <br /> ' . ,� C..� '��1...� <br /> .� <br /> : .'.. <br /> �}1� v.��:�.•�:..��.l' . • . <br /> ` ( � I ... ... . . . . . � . � �� (/��,���}•Y�.. •.' •� '•' <br /> � t <br /> . . W� .. <br /> . ' � <br /> ' Permit, aSrees do all <br /> ' a �1�to the Ciry for issuance of a Plumbing u'�L10� of the tate of <br /> Thel�mdccsigned hereby PP, and the Ce� �ete, rue and <br /> v�nth the ordinances °f on this aPPli�tion are cvmp <br /> work in strict accordance ements made <br /> [viii nesola. and ccr���ies that all stat <br /> , co�ect- <br /> � <br /> Da�:�1�•" I� <br /> A�p�,�ant's Signature. <br /> �: <br /> �. ' ' - I I . ..,��' ����r*u?,LNTi�v�r. <br /> . .. ,.�p����i.�i; ��.,�,'„�„�y��y'-'�:'� • <br /> I�I . ..�Y... • . . .. . y. . .. <br /> � I <br /> t <br /> I <br /> j . <br /> 3 <br />�, i <br /> , <br /> , <br /> � <br /> I � I <br /> I ( <br />