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. <br /> � <br /> : � � <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains �� ' <br /> .� <br /> Lavatory Sewer�jeCtor <br /> Bathtub Laundry Ttay <br /> Shower Washer <br /> . Kitchen Sink Water Heater v <br /> �` v <br /> Disposal Water Softener . <br /> Dishwasher Wet Bar <br /> Sillcocks , Miscellaneous <br /> ❑ Yes,this section applies ' <br /> The replacement of a Residential fixhue or anpliance that meets�11 three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a l�ta cost Of 5500.00 or less;�,ludin¢the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeovmer or licensed 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 /> Total Permit Fee � S�.Od <br /> � �. <br /> � � '... , <br /> . � <br /> (Permit Fees Continued On Nezt Page� <br /> � ' . , <br /> � <br /> . 2 <br /> � <br />