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. <br /> PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1`� 2"D OTHER FIXTURE BSM"C 1'� 2�D OTHER <br /> TYPF FL FL TYPF. FL FL <br /> Water Closct Floor Drains <br /> Lavatory Sewer Ejecror <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater � <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellancous <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> � Ycs,this section applics <br /> ;r� <br /> The replacernent of only one Residential tixCure or appliance that meets all three of the following <br /> requirements: <br /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of�500.00 or less;excludir�the cost of the fixture or applianec: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next scction, if this applies; Cost of Perinit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $��Q�% <br /> C7`Q' � <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />