Laserfiche WebLink
PLUMBING F TUItES BEING INSTALLED <br /> FIXTURE BSMT 15 2 O HER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sinlc Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillco� :s Miscellaneous <br /> PERMI FEE CALCULATION(S) <br /> BASED F -2002 SfiATE:STATUE <br /> ❑ Yes,this secrion applies <br /> The replacement of only one Residential fi ture or a liance that meets all three of the following <br /> requirements: <br /> 1. Does not require modificatio to electrical or gas service. <br /> 2. Has a total cost of$500.00 0 less;excludine the cost of the fixture or appliance:and <br /> 3. ls improved,installed or repl ced by the homeowner or licensed plumbing contractor. <br /> Skip next section,if this appl s; Cost of Pemrit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-ln Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $G� <br /> (Permit Fees LonNnued On Next Page) <br /> 2 <br />