|
01/22/2015 1�:a1 FAX 95293�5049 CULLIGAN MNTKA [�OOa
<br /> �,;� �,r:-;�,�,,,� �,�.�,,.,;,�,,,._, -
<br /> , r�;.:,;,,�a;.,;",,,;-,;• -�,� ., " �� '�', '� �„`c ', ; �, �-, "� ,,, �,�,ry� ""'
<br /> �P,'r' I�;ilr��';;,,"�,y���l���,�� +�'!;1:� i.PI- ��~':�'''`�r' ,�;;�r•�-A� �s�, �i���:�)�,�r%�',';'' ;:";;', v;:;,•,�'.�.'���,;Y,;`i'.,'�;`''i�.
<br /> FI7C'fURE BSMT 1 2 Q7'��R FIXTURE BSMT ] 2 OTHER
<br /> TYPE FL FL TYPE FL FL
<br /> Water Closet FIOor Drains
<br /> Lavatory 5ewcr Ejector
<br /> Bathtub Leundry Tray
<br /> 5hower Washer
<br /> Kitchen Sink Water Heater
<br /> Disposal Water 5oftenery"
<br /> f
<br /> Dishwasher Wet Ber
<br /> Sillcocks Miscellancous
<br /> ���iy�:,'^,�{�;il'i���.��).;�,y', �",•:jr. „�i'„��.r.�`:+.�ygi�.if�,p,vfi,r� yY,-. ,P �.i'„� i "',' ,.,;r^'�+�7-!�� ��� �y.'P:.'�-y';��`{�;',1"ar�...,���,,,���i.�".�'�r:,r,.�,l.(, �•lilr 3o'r;
<br /> �:�7 i���l�?ji dry t� Y`a�,1 �n 1t r, i l �J.Y���,L"�E',"�,i��r�t�tl"'L{�lY��il�� 'frli I �p 1 t� 'F^ � j'"
<br /> �� r)� �u1M � .��', il II � I� �� u .� �. V . � � ,_.. r �' � i .11 �nr � r(��r,�;"ry1��."h��l
<br /> ���i �! � t S il r 1�1',�h•i�:z, 4�
<br /> ,�;�;��, ,, ,,��;.��. ,. , � ,, .s� �. ,�A�SEI���F�F:=1�i.Q0��'�'T�'�'�;��T�.'1'LTE�, � �.�'� -.��:i,�:��n�,�;�:.��_.
<br /> �:��:
<br /> Yes,this section applies
<br /> e rcplacement of a Residcntial fixture or 9 liance that meets al1�ree of the following r�quirements:
<br /> I. Does not require modification to eleCtriCal or gas s�rvice.
<br /> 2. �as a tota]cost of$500.00 or 1ess;excluditae the Cost of the�xture or 8ppliance:ar�d
<br /> 3. Is improved,installed or replaeed by the homeowner or licensod contractor.
<br /> Skip next section,if this applies; Cost of Permit $ I5.00
<br /> State Surcharge $ 5_ 0
<br /> Mail-In Fee(ItApplicable) $ 2.00
<br /> Total Permit Fee �
<br /> (permit�'ees Continued Qn Next PAge)
<br /> 2
<br />
|