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�ar 23 06 08: 06a Tim Iverson 320-274-8820 p. 6 <br /> Z � <br /> ' PLUIvIHiNG�F13CTUi�S BEING.1NSTALLED . . � <br /> F[XTURE BSMT i 2 UT1-1BR FIXTURP. $SMT l � OTNER! <br /> T�PE RL FL. 'i'YPE FL FL I <br /> I <br /> Water Cfosec i Z � � Flonr D��ains � <br /> � <br /> Lovalory f �� � Sewcr Gjccbr <br /> 1 � <br /> Bathroom � ^ —La��ndry Tray �- -� <br /> Shower Washcr� � + <br /> � _.�._ <br /> i�it�hen Sink ` Water lieat�r <br /> � <br /> Disjwsal i Waler Softener �� <br /> DisbwasNer ` Wet.Bar ' <br /> f <br /> Silleocl:s � Miscel{�+neous ��'�' <br /> . ::�PERMIT FEE CAGCULATION(S)::'",:::;��::.: :. <br /> �E <br /> ,::�:�; . . <br /> '�=BAS D�.O �<�2002� <br /> F STA���`!'AT`U��:: _ :� <br /> ❑ Yes,this scction zpplies <br /> Tl�e repiacen�ent of a Rtsidential fi�-h�re Qr a,�],iancc fhat meets all thrce af the following requiramcnts: <br /> 1. es re�uire modific�tion to electrical orgas serviCr. <br /> ?. Has a �t I cosl of$SOO.QO or less;g� in che cost o'f the tixture or appliance:and <br /> 3. ls impraved,inslallui or i�eplace.d I�y the homeowner or licens�d c�nlractor. <br /> Skip next section,if tiiiis appfies; Cast of permit $ i5.00 <br /> St�te Surcharge � .SO <br /> MAiI-ln Fze(If Applicable) $ {,SA <br /> Total Permit Fee � <br /> (PerE►rit Fccs Continucd On.Ncxt P��e) <br /> � <br />