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O1/18/2418 THU 10: 46 FAx 763 a73 8565 Sabre eeating 6 Air Cond �003/007 <br /> FIXTURP. HSM�' 1 2 0� i�ix7'Ux�? ��SM��' �� 2 oT�rr�+,R <br /> T'YT'� Fl. FT. T'YPB TL I�I. <br /> Watc;r(�l�set �I ( � � Ploor Draias ^_ — ...` <br /> Lavatoiy 1 ` � Sewer Ejector <br /> I <br /> Bathtub �. L,aund�y Tray , ( <br /> Showet 1 � Washer . , .N._ <br /> t <br /> Ritchen Sink ' Water Heater , <br /> , Disposal � 'Vl/ater Safcener �. <br /> . J�ishWashd' WetBar � <br /> Sillcocks � Miscellaneous <br /> CI Xes,�d�is sxtior�app�ies <br /> , TSie roplacecuem of onl�one�esidential�'ucpa��Q�c_e thai mc�all tluve of the�ollowing . <br /> , requirements: <br /> l boes not requiro modi�cauon w eleetrical or gas service. <br /> � 2. Has a totei co�t of SSU0.00 or less;cxc}udiva the cos�of the fixture or appliance:snd <br /> 3, Ts improved.installed or replaced by tho homcowner or licensed plumbing contracror. <br /> Skip next seation,if ihis appiies; Cost of Pem�it $„_, i5.00 <br /> State Sureharge $ 5.00 <br /> ' Msil-In T�ec(If Applirable) fi 2.00 <br /> �'otal�'crmit Fee $ . <br /> (�erinit Fee�Continued On NextPage) <br /> 2 <br /> ti._ r . • 'I.r_ �r . • N�_ � • ' 1.a_ '�' • ' H.._ <br />