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4+- <br /> „„' .4� , ��• 7. i' '� m ,1 11-13J� o611l'--� rA G, <br /> FIXTURE BSMT 18T 2N0 OTHER FIXTURE BSMT 1ST 214D OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> LiFSW �J n F �'' rn ��..UA Fi� T�' 3 <br /> Srtr� -..11 tQ-f 'FC�.F � i � ^` ^r ;, <br /> h �IXC '1`-i A E� r�-�S tI.��E'���-7 �7'+!.,�� �,� �l�rv��n'�`�15 h:�����-..�, �•�f���.E� ' - ._.. �.,,�`�� <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 I l.OD <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />