Laserfiche WebLink
May 05 2014 3: 26PM HP LRSERJET FRK p. 8 <br /> ti <br /> � <br /> FIXTURE BSMT 1 2 OFI�R FIXTURE BSMT 1 2 O R <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � � 3 Floor Drains <br /> Lavatory � � � Sewer Ejector � <br /> Bathtub Laundry Tray <br /> Shower I W��r <br /> Kitchen Sink ,•� Water H�ter <br /> DisPo� � Water Saftener <br /> Dishwasher � Wet Bar <br /> Sillcodcs Miscetlaneous <br /> � <br /> ❑ Yes,this sectian applies I <br /> I <br /> The replacement of only one Residential fixt�xre or applisnce that meets all the�ee of the following � <br /> requirernents: I <br /> 1. s not reyuire modification to electrical or gas service. I <br /> 2. Has a�of$500.00 or iess;excludine the cost of the fixture or appliance:and <br /> 3. Is improved,instelled or replacad by the homeowner or liconsed 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 /> Tot�l Perm[t Fee $ i <br /> � <br /> i <br /> � <br /> (Permit Fees Coatinued On N�t Page) <br /> I <br /> i <br /> � <br /> 2 <br />