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Oct 21 1304:14p Stewart Plumbing Inc. 763-428-1733 p.3 <br /> PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1N' 2ND OTHER FIXTURE BSMT ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet , Floor Drains <br /> Lavatory 2 Sewer Ejector <br /> Bathtub 1 Laundry Tray <br /> Shower . Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sil!cocks Miscellaneous <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE <br /> 0 Yes,this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of 5500.00 or less;excluding the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />