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MAY-21-2012 06:51A FROM:ONSITE MECHANICAL (952)446-9408 TO:9524724%1 P.3/4 <br /> PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT IsT 2ND OTHER FIXTURE BSMT 15T 2Nu 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 Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> S <br /> it lcocks Miscellaneous <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The ty <br /> replacement of on one Residential fixtur or awliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> tudin the cost of the fixture or 2. Has a tote c t of$500.00 or less;exc a appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Sp next <br /> Skip 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 $ <br /> (Permit Fees Continued On Next Page) <br /> �I <br /> 2 <br /> I <br /> I <br /> i <br />