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03/la/2018 wE� 8: 39 FAx 763 a73 8565 Sdbre He�ting � Air Cond �009/007 <br /> �!. <br /> F1X7'CJRL:'. . liSlvC'1' i� � (?'1'l)1?lil�.� 1+131'lUItI��M 1�SM�1 I' � U'I'HLR-. <br /> TYPF i+L Pf. 'FYPP: F'L [�i., <br /> --• - ..._......-••- ••-•----- ----------- --- ---- ��- --.._.... �_...•-----•---,.. <br /> WaterC►osct ` Fluoi Diairis <br /> T..a�ator,y_' ... 1 —�' Sewra•Ljecto�� <br /> ' Y3athtub � ' Laundry Tray - <br /> �Showes WAshe�� <br /> Kitchen Sink WAtei Heater <br /> bisposal Watc.�r Soflen�t- <br /> 17ishwesher Wet�ar <br /> Sii icocks Miscellax�eous <br /> � Yes,this secaon a�xies <br /> 'Ihe repla.oement of anly oae R,esidential fixturgqr s,�}�lianoe that meais a11 thrae of the Fol)owin,g <br /> requirem�ts: <br /> 1. Does not rtiquire modi5cation to electrical or gas secvice. <br /> 2. Has a total cost of�500,00 or less;e�ccludina the cost of the fixture or appliance: and <br /> 3. Is improved,i�nstalled or replaced by the homeowner or lieensed plumbing contractor. <br /> Skip na�ct section,if thi5�pl�es; Cost of Pern�it $ I5,00 <br /> 5tate Swrcbarge $ 5.00 <br /> Mail-Tn�+ec(rf Applicable) �-__- 2.00 <br /> Toial�Crtnit l�'ee � <br /> I <br /> (Permit P'e�r,Continued Qn l�cact X"a�e) <br /> � ' <br />