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03/02/2018 FRI 13: 06 FAX 763 473 8565 sabre Heating & Air Cond 0003/007 <br /> 'Ca CEIT-M7t' r <br /> FIXTURE BSMT l2' OTHER FIXTURE BSMT OTHER <br /> TYPE FL FL lYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> t 6 <br /> Bathtub Laundry Tray <br /> . <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal <br /> Water Softener Dishwasher Wet Bar <br /> Sillcocks <br /> 2. Miscellaneous <br /> , 'CH ' ' ' •'. ' r <br /> Yes,this section applies <br /> The replacement of only ono Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 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 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) <br /> Total Permit Fee <br /> (Permit Fees Continued On Next Page) <br /> 2 <br /> . . <br />