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„� �, <br /> PLUMBING FIXTURES BEING INSTALLED �,�” ' ,�`��� �� ���. <br /> �.. .� ,a� ��F._ ,�: <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 /> i� <br /> ._ ��i1 ��' � J�',�-';i ;= ����1:� �+,'�U;�.ic� �r�,^^. :�.�'u ,� �j 0 °� <br /> -�U ��D N� �� � 1� � <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2Q02 STATE STATUE <br /> ❑ Yes, this section applies <br /> The replacement of a Residential fixture or a liance that meets all three of the following 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 contractor. <br /> Skip next section, if this applies; Cost of Pernut $ 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 />