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� _ PLtJM�ING � ' � <br /> � . .� . � .: �r <br /> r � .. . , . . _ <br /> FIXTURE BSMT 1 2 O FIXT(JRE BSMT 1 2 OTf�R <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Ihains <br /> Lavatory , Sawe�Ejoctor <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> � <br /> Kitchen Sink Water Heater <br /> Disposal Watet Softener <br /> Dishwasher Wet Bar <br /> siticocks M'�� 1 RPZ <br /> ���. rt:�,v � , <br /> � ��' �: ���7.� <br /> ❑ Yes,this section applies <br /> Tho replacement of only one R�idential fixture br a�roliance that mcet�all thrce of the following <br /> ��� <br /> 1. I�es not require modification W el 'cal or gas service. <br /> 2. Has a t��of$500.00 or less; the cost of the fi�u��appliance:aad <br /> 3. Is improved,installed or replaced the y��eowner or licensod plumbing contcactar. <br /> Skip next section,if this applies; Cost of Permit S 15•00 <br /> State Surcharge S 5•00 <br /> Mail-In Fce(If Applicable) S 2.00 <br /> Total Permit Fee S <br /> (Permit Fea Continacd On Nezt Pu�e) <br /> 2 <br />