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.�e a.�, a.;ams xJt 'JFg6"a kv t-. <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet r Floor Drains <br /> Lavatory ti _- i Sewer Ejector <br /> BathroomI Laundry Tray P <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks r� Miscellaneous <br /> tea,.- 'n ^' t5�' r"i"�7 V it I''T wr' $, c - <br /> a g��. d 8.x.�,^. .a�a'k G'"i.+Ie 6 [n G%s. �t L F G;,. F 9 vM SM. y� y 1.. <br /> -„xi- .'��a"a.�, .aw�.w�.:-aaka "' aww� �air"+ -�...-�. :,^m._ �s°azas...na,.,�"�]S';" �- ��, <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 />