Laserfiche WebLink
PLUMBING FIXTLTRES BEING INSTALLED <br /> FIXTURE BSMT 1 2 OTI-�R FIXTURE BSMT 1 2 OTI-IER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> / / <br /> Lavatory Sewer Ejector <br /> / <br /> Bathtub Laundry Tray <br /> / <br /> Shower � Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Baz <br /> Sillcocks Miscelianeous <br /> �j�v�Rc2 �se+f�� �^✓ /�7�7u�r'S o^ GXiJ�ihp /'ouqh � h . <br /> / <br /> ,.( J <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF•2002 STATE STA�'UE <br /> ❑ Yes,this section applies <br /> T'he replacement of only one Residential fixture or annliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip ne�ct section,if this applies; Cost of Pernut $ 15.00 <br /> State Surchazge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />