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06/04/2009 11:19 6128663059 SOUTHTOWN PLUMBING PAGE 02 <br /> �, !� ••!�! � w•i1 .i%r. :y,;�i;I!r'1.'ifiH„�{; i;1i:,�n.�}•N:�p'' j <br /> FIXTURE 8SMT 1 2 NLI OTHER FIXTURE BSMT 1 2 07HER <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 I <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> :iflita; 71;�.• i`• .911..'. nu ��• I�!•' •r: ..'ii9(':!::i r>:k• i;;•!„�1:`I� :r� Wt' •,.�: <br /> Jnr..• 'r.' ,le Pu, ri:j;:r r u ;.r <br /> '.111 •r. u; hr 'ae i:y a r r „i. 1�:: <br /> 4""J(( ��•".1•.I�. .Y:: ... ! .. <br /> �'0'' ..�'iP 1: :1 �1M,�:11,i?.i x.i .,r•,iar:il..:�;('�.::•i.Ei��: "�" I <br /> 'i '! ! j rin ..'I.ihr M�l.i,;{.•,�.�:,ji+;>::�,�ti�;; !;!::,;. ���f <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 t cot of$500.00 or less;excluAing 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 S 15.00 <br /> State Surcharge S .50 <br /> Mail-In Fee(If Applicable) S 2.00 <br /> Total Permit Fee S 17, fi <br /> (Permit Feet Continued On Next Page) <br /> 2 <br />