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.. fftly BING`FIXTYJ BEj: G,.NSTIa ID' <br /> FIXTURE BSMT 1ST 2 NO OTHER FIXTURE BSMT 14, PD 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 /> z � <br /> Sillcocks Miscellaneous <br /> -� ��' "" �' '�"�i4 � {S�wt '�' � ,���C� �,J.���S,�•�.�ir rC�'� 4 ^����'��Y"t v {y,,�t n a�,�-{ <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 />