Laserfiche WebLink
07/25/2013 09:25 FAX 9529335049 CULLIGAN MNTKA [j003 <br /> -r ., <br /> 11-INBNO FI TIJ ES BEK INSTA I D <br /> FIXTURE BSMT 1sT 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> f,.. .t:�i:;R .cps.. :'i! '!i:' _ 'a��'s '?'4i' .,r.t§.=; ..¢hn „+i+°lN"irlr ;{.,• <br /> '��h vl'.r,, a„.„ix...:.i�•r -;,��: :'3t"r- ,.r.%. ''r ;.r. i^.'�{ ,:r.. _ off;i.:. <br /> .r y�-Zr tr !iit n2r K A r ! i M� �r r e � it r � 4! � -I .. <br /> >: �t,_ �.r. ..., 1. .. .__.., �. _ :��i :,. _ �:._. . . . ... .a. � �.�, <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 $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />