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<br /> fiu!� � � , Yes,1'b�.s.Sectio , App -,:-�-. . = u� r � � '
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<br />�,������ �:�,t;ep��mt;���a ` identi�l fixture or annliance that meets all three of the following
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<br /> p .r91 � 7�- t �:.�h� .1 � J';+T'aA�k ri-. Wb.0� i..�:� a{.a'ta. i .. t . f ._ ' .,
<br />�w�.. w����4 :� c = ;:*�)'�'` ��:xequ� �odi�ic�t�om�tQ��ele.�t�cal or'gas service. ; ' '
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<br /> �t� 'a 2) �,'{ H�a��,o_';� ,-s of�$500•00 or less,° ludin the cost o�the fixture or appliance:
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<br /> ,�. `s �� M A `: ,y. , .. �•. .,. . �.. u�, ' ' ,. .� � .
<br />`` , ,.' 3) . �,s impr�ved, it�stalled or replaced by:the homeowner or licenced contractor.
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<br />�' ��' �, � �aoi� � � �� Cost af�ermit � ���
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<br /> � �r� ' "� . x.:�`;: '�,,,P�..�,. t � _ _. .� ��State�Surcharge`�� $ :�.50
<br />'��,,�� �. � Ivlail�Fee � $ � I.SQ �
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<br /> k����,�,.�� ����v��does not:aPP1Y,fouaw guidelines below: � .
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<br />„ �;. ��' :�.����,�,��,�;�;�.s 0125 %����,Qh,�vxth a Minimwn Fee of($35 001' .., _ . . ..
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<br /> �� '?:..� . .�.00 x .0125� $ ^] ' j
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<br />� _ � : ' minimum A�1 +
<br /> , " ' rA�,�+ (coutra pnce) ( 1n�$�.5 )
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<br />�� �:� ,. -�2 ;: ctatP ��Gharg,P,; **�A,dd the State�Building Gode Division a (Mimmum Fee of$,.50)
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<br />� t�� `,t: _ , (co�tract price)` (minimum$ .SO)
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<br />���'+� �a �� . "� , a . . , � , `: .,; a� .. . T�- > � $ 1.5� �
<br /> �: ����w .3� �dlin� (Only mail u��ppli�ations).
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<br /> '� k�:. ''`�` a�� � �f. � ,}� �.�h c i+tX•� �t�'�V��,.'^ � .. ;' .�.; 3�..e +�-� . � ' � , /'�i'
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<br /> � `f �+ �:�Q1�T�R,��'I'.P�tI�E or;7(JB.COST nµeans the a�h�l,�or es�imated dollaz amount charged�or the permitted
<br />� � :< - :,�worl��l{tdim$txaat�r�a1S,�1a�R�r�?rofit,,�uud ot#�er fi�ed costs, It is the ainount to be charged to the customer
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<br /> �.#Q1"�u�+.�l�"�4�:"��Y`�.�3�P�;.�r;or i�pstaUatian�re fumished by the owner,tenant or
<br /> � ��' �qt�r�,p,�r�f�,�easomablc��uarlc�t.yalue of�st�cb�item�:must be�.dded to tl�e estimated cost or contract
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<br />�� ��,���, .�' � i p�r,e fo;p��it fee pul�oses I�a,tt��ev,eAi.that there is a dispute aa the amount af the job cost,the City may
<br /> .:.��-���..�,�,� .,�}�c�t t�.s�bnaissi,on+af.a�igned coPY;of tt�e�►ctw�l coatract. ,
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<br /> i �'`�.� � �' � C GE zs OApS o�tbe� utract rice under$1,000,000'or $.50-whichever�s greater.
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<br /> o:��, � ��,FsuY�luai�+ips� er-� .�.OQD �-3�p of Inspecdou Sezxices for,the.pri�e..
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<br /> {�'" ���'r .h�etsi� 1�Creby-��p�ies tQ-�he��-i�Mfor�,ssuan�e"af-�Rlumbmg�Pemut;'�agrees to�do'all
<br /> �� � � ..Y�4.���"�&��4r�.� �!ith t������-Q� �..'��.ty..�nd the �e„gulat�ons of the �tate:of
<br />� `�� ���� M�i�ta�``�d Fe�fi.es that all stat,ements�made on this'applicat�on are complete, true aad
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<br /> � t ��: ture: •�',,'�� Date: �- �� ' l�
<br />� � ._f:'Apglicant s Sig�ta � "
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