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FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1 2 ND OTHER <br /> TYPE FL FL TYPE FL FL 5tab1� <br /> Water Closet , ' Floor Drains I <br /> Lavatory I I Sewer Ejector <br /> Bathreern tin ` Laundry Tray I 1 <br /> Shower ` 1 Washer , <br /> Kitchen Sink ` Water Heater I <br /> Disposal 1 Water Softener I <br /> Dishwasher ' ' Wet Bar 1 <br /> Sillcocks Miscellaneous <br /> J <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;excluding 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 />