Laserfiche WebLink
� . ► � <br /> � . <br /> 1?L' �fiC�r��:�$��TCr.T1�: ��:.�_ �,�;`". � z <br /> FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTHER <br /> �ypE �, pL TypE FL FL <br /> Water Closet l � Floor Drains 1 <br /> t <br /> Lavatory � Sewer Ejector <br /> � <br /> Bathtub c� Laundry Tray <br /> Shower t � Washer � <br /> l <br /> Kitchen Sink � Water Heater � <br /> Disposal � Water Softener <br /> Dishwasher � Wet Bar <br /> Sillcocks p Miscellaneous <br /> � <br /> �.�" � � <br /> i r '� k..s ...v at°r '�'�'' i �s4 T�� s� � . '�.y$��ta' �:'y ;'{r�'' . <br /> `�„'� F.p ��';`y r �'✓� " �j-z� � .� f�.. � �N � ��;. <br /> ,,`�,�. ,31$_.. i� s :�r4' -c:,. <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip ne�ct secrion,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />