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/31/12 10: 15AM CST Spring Plumbing LLC —> Building Dept 9522494616 Pg <br /> PLUNBING FIXIMS BEINQ BiSTALLBD <br /> FDtT[JRE BSMT 1 2 OTHER FIXTURE BSMT 161 2w OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water closet 1 Floor Drains <br /> ]Lavatory Sewer Pjector <br /> Bathtub laundry Tray <br /> Shower washer <br /> Kitcben Sink waterklaater <br /> Disposal Water Softener , <br /> Dishwasher wet Bar <br /> Sillcoaks "scellaneoas <br /> PERWT FEE CALCULAMON(S). <br /> BASED OFF-2002 STA -STATUE <br /> ❑ Yes,this section applies <br /> The replaosment of only one RAidential fg=or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modifivation to eloctrical or gas service. <br /> 2. Has a total cod of$500.00 or less;ZXglyding the cost of the fixture or applia=:aM <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip non section,if this applies; Cost of Permit $ 15.00 <br /> State surcharge s 5.00 <br /> Mail-In Fee(If applicable) 3 2.00 <br /> Total Permit Fee S <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />