Laserfiche WebLink
ry <br /> 01 <br /> ``"` -¢` `v� @ y c �, y 3 y �i L��'- ". <br /> �, [ x �'i�r .QA Ise 4"Il � s E <br /> FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains / <br /> Lavatory Sewer Ejector <br /> Bathieom Laundry Tray <br /> Shower Washer <br /> Kitchen Sink / Water Heater / <br /> Disposal / Water Softener <br /> Dishwasher ` Wet Bar <br /> Sillcocks Miscellaneous <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following 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 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 />