Laserfiche WebLink
10/17/2011 12:39 FA% 9529335049 CULLIGAN �NTKA f�003 <br /> . � .. <br /> ;": .. �'.r:���,�$���'`.r.�-°�'[��`����7��$�,�:r�.�i`• _ � . <br /> FiXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener � � <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> ,� 'q"�i� ] �>��'•. :t • L�.i - �.y � q � <br /> , � + �•r'� •a�:� •� � n ��'�hS. 1'• 'r• 3'W��..:•. <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or ap�liance that meets aU three of the following requiremcnts: <br /> l. Does not require modification to electrical or gas service, <br /> 2. Has a total cost of�500.00 or less;ex ' the cost of tha fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,�ifthis applies; Cost ofPermit $ 15•00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(Tf Applicable) �, Z.00 <br /> Total Permit Fee $ <br /> (Permit Fees Coatiaucd On Next Page) <br /> 2 <br />