Laserfiche WebLink
� <br /> r� � a> s <br /> .,� � �p•�w� f pY��'.., <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet 1 Floor Drains <br /> Lavatory 2 Sewer Ejector <br /> Bathroom Laundry Tray <br /> 1 <br /> Shower Washer I <br /> Kitchen Sink � Water Heater <br /> Disposal 1 Water Softener <br /> Dishwasher 1 Wet Baz 1 <br /> Sillcocks Miscellaneous <br /> �,:� <br /> ;� �: ,.;`. <br /> r`,A „�Y � <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance 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 Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />