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r ' <br /> FIXTURE BSMT 1 2 O'THER FIXTURE BSMT 1 OTFiER <br /> Typg FL FL TYPE FL FL <br /> Water Clos� Floor Drains <br /> Lavabory Se�er Eja�or <br /> Bathroom �Y Tt'aY <br /> Shower w�� <br /> Kitchen Sink Water Heater <br /> Disposal Water Softa►ex <br /> Dishwasher Wet Bar <br /> Silicocks Miscellane�oos / <br /> �.,s�-��� V«Lu�b�eal�e��r�� .��� �� 1�l ec-Sy��'e�"'� <br /> �: . <br /> Q Yes,this sa�ion applies <br /> The replacem�►t of a R�side.c�l fixture or a�L�s t�m�s a11 thrce of the following require�ts: <br /> 1. Does not require modification to electrical or gas s�vice. <br /> 2. Has a total c�t of$500.00 or less; cg� l��n' g the cost of the fixriu�e or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed oontractor• <br /> Skip next s�tion,ifthis applias; Cost of Peimit S 15•00 <br /> State Surcharge S .50 <br /> Mail-In Fee(If A�licable) S 1.50 <br /> Totsl Permit Fee S <br /> (Permit Fees Continned On Next Page) <br /> 2 <br />