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09/12/2017 TUE 7: 38 F7�x 763 a73 8565 6abre Heating � Air Cond �006/007 <br /> �d <br /> • FTXTiI'Rl"+. 1351��"'I' I�� 2 C)THF.R Fi3{TURF, _..�_. .�SM'j,.. -�q,__ z - U'1'HI:R <br /> 'i'YPL f+1. 1�L '1'Y!'1: Fl. PI.. <br /> �—�--•--_--�—____---- _ _._......,_.....T,i— S __..: ..,,..... <br /> W&YCT��U5L't � � ���OOt�l)ram. � . <br /> Lavato��y , � � Sewer�jector <br /> E3athtub ' I L,aunB�,y'1'rsy ( <br /> Sh�we�� ( Washar � <br /> Kitchen Sink 'W'ator Heatcr� � <br /> ......� . - - ...�.� � ....�.,,.._ <br /> Disposxl I Water SofLunor <br /> --__ ...1.._... -�- -•- ----_ _, ..,.�. , <br /> Dishwayher Y - I y - - — Wct Bai <br /> Sillcocks � M�scella��eous <br /> , � <br /> � <br /> ❑ Yes,thig section applies <br /> The replacem�t of onl�one Rcsidentiai fixture or ann.li�n�e that meets a11 throa of thc foRowing <br /> . requirements: <br /> ] Docs nnt rF;quiro modif cr�tion to�lectrical or gas service. <br /> Z. Has a total cr►st of$500.00 or 1ess;excludin�ihe eos(of il�e ftxlux'e or upplianea: and <br /> 7, �s rmpa•oved,installed or replaced by thehomeowner or licensc;el pltunUfng contractor. <br /> Skip next section,if this applias; Cosc of l?ermit S I 5.00 <br /> State 5urcharge $ 5.00 <br /> 1V�ail-I��Fee(If Applieablo) �r ?QO_ <br /> Tou�l permit Fcc S <br /> . (I'crmie recs Continaccl On Ncucc Ps►ge) <br /> 2 <br />