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. <br /> C <br /> �. PLUIvIBING FIXTURES $EING INSTALLED <br /> FIXTURE BSMT 1 2 + OTHER FIXTURE BSMT 1 2 ' OTI�R i <br /> TYFE FL FL � 'I'YPE FL FL <br /> i j <br /> ; Water Clcset Floor Drains <br /> Gavatory Sewer Ejector ' <br /> i <br /> Bathroom � Laundry Tray <br /> � 4 <br /> 1� Shower f � 4 Washer <br /> , Kitc���k i � � Water Heater <br /> � � � <br /> Disposa! i V1'ater Softener ; ' y <br /> Dishwasher VVet Bar � � <br /> Silicocks Misccllaneous ! � <br /> t <br /> _; >PERYIIT FEE CALCiJ�ATIdN(5) ;� <br /> � : h BASEA OF� -20Q2 STATE S'�ATUE . .' <br /> � Yes,this section applies <br /> The rtplaczment of a Re��dentia!fixture or anatiance that meets alf:hree of the following requiremcnts: <br /> 1. es require modification to electrical or gas service. <br /> 2. Has a tatal cost of$500.0�or less;exclu ' the cost of the fixcure or app[ia.nce: and <br /> 3. ls improved,installed or replaced by the homeowne;or licensed conuactor. <br /> Skip next section,if this applies; Cost of Pormit � �5 a <br /> Scate Surcharge S_ •SO <br /> Mail-In Fee(If Applicable) $ 1� <br /> Total Permit Fee $�..Q� <br /> (Permit Fees Continued On Next Page} , <br /> � <br />