Laserfiche WebLink
. , <br /> PLUMBING FIX'T'URES`BEING I�'ST.ALLED <br /> FIXTURE BSMT 1" 2�D OTH6R FIXTURE BSMT 1 T 2'° OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floar Drains � <br /> Lavatory � Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater � <br /> Disposal Water Softener <br /> Disl�washer Wet Bar <br /> Si Ilcocks Miscellaneous <br /> PERMIT FEE CALCULr1TION(S) <br /> � BASF:D�FF�- 2002 STA'�t'��:�5"I�A"CUE <br /> ❑ Yes,this section applies <br /> The replacemei�t 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;excludin�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 Surcllarge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />