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� <br /> -.� PI;UIVIBING FIXTURES.BEING INSTALLED <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floor Drains <br /> Lavatory ,1 Sewer Ejector <br /> Batlu-0em � Laundry Tray <br /> -��h <br /> Shower 4 Washer <br /> .L <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> ' � w� s ; ,� PERM�T'FEE.CALCt�LATION�5) � <br /> � . � s u_. �, ; ;' <br /> '� :� :� ,_BASED`O�=�2002 STA�'E`S?'ATITE -- � ` ' <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets alt three of the following reyuirements: <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 contractor. <br /> Skip next section,if this applies; Cost of Permit $ I5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />