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- '.; PLUMING FIXTURES BEING INSTALLED. <br /> FIXTURE BSMT 1 2 N11 OTHER FIXTURE BSMT 1 2 No 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 Sink 3 Water Heater <br /> Disposal Water Softener <br /> Dishwasher Z Wet Bar <br /> Sillcocks Miscellaneous <br /> �d s y ,rt-�►�� <br /> �Ce maker, f <br /> -PEEMIFEE CAIGULATIQN(S) <br /> BASED:OFF 2002'STATTEST <br /> ATUE, <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludinjz 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 $ 15.00 <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 />