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FIXTURE BSMT 1 2 01'HER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet a � Floor Drains � <br /> Lavatory S Sewer Ejector <br /> Bathres� � `-� Laundry Tray � <br /> U o� <br /> Shower � I Washer <br /> Kitchen Sink � Water Heater <br /> Disposal + Water Softener <br /> Dishwasher � W�B� I <br /> Sillcocks � Misceilaneoas <br /> , <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> _ 1. Dces not require modification to electrical or gas service. <br /> 2, Has a t tal c�st of$500.00 or less; ci ' the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge � <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />