Laserfiche WebLink
05/14/2013 TUE 12: 58 FAX 763 473 8565 Sabre Plumbing & Heating 0003/007 <br /> FIXTURE BSMT 1 2m- OTHER FIXTURE BSMT I' 2 N11 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains i <br /> 2_ <br /> Lavatory Sewer Ejector <br /> Bathtub 1 1 Laundry Tray ` I <br /> 1 <br /> Shower I + Washer j <br /> Kitchen Sink Z F Water Heater <br /> Disposal Water Softener <br /> Dishwasher i i Wet Bar ` <br /> Sillcocks L I t Miscellaneous <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture r appliance that meets all three of the following <br /> requirements: <br /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing 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 $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />