Laserfiche WebLink
- ?: <br /> � <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 r Sewer Ejector <br /> l <br /> Bathtub Laundry Tray <br /> Shower Washer I <br /> Kitchen Sink � Water Heater <br /> Disposal Water Softener <br /> Dishwasher � Wet Bar ) <br /> ! ` <br /> Sillcocks Miscellaneous � <br /> - L ��� �h 1� i���� C� ��� � � <br /> �o�fie�� �� � �-f <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section, if this applies; Cost of Permit $ 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 />