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� � <br /> �, .�; ,- , , _.. <br /> y . K i 5' � <br /> \� � � �'c:'�- �ec. 'J�C �y�h 'z. F. s.`y`t. ��: <br /> ' ' ' ' ..-''€�. .'r: 3. <br /> FIXTURE BSMT 1 2 OTHIIt FIXTURE BSMT 1 2 OTI-�ER <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 I <br /> Dishwasher Wet Baz <br /> Sillcocks Miscellaneous <br /> ���,.. 4 � . � . ..._ .. . <br /> � ���:� - ��.x-�--�?�r Y`'..t. � .. - _-���� � ���- ��a �� � . <br /> ' s\ s.4� �' �. �.��".����-�.e`�,� .,:�:�x �-^ �_- --- "���:�".� ���."� a :: <br /> �z <br /> , �• <br /> .,:t j ���.�-�:� _ ��,�-'�''*y�,.`���_ - .�.'���LLs �`� �..`` -`< <br /> �' s ., <br /> :. . ..> .�y,. , -. <�.� ... , ��-. �-. <br /> - - ` <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 cequiie modi�tication to electrical or gas seivice. <br /> 2. Has a total cost of$500.00 or less;ex 1 ' the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section,if this applies; Cost of Pemrit $ 15.00 <br /> State Sw�charge $ l.00 <br /> Mail-In Fee(If Applicable) S 2.00 <br /> Total Permit Fee S� <br /> (Permit Fees Continaed On Neat Page) <br /> � <br />