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05/12/2010 21:51 6519948701 JANECKYPLUMBING PAGE 02
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<br /> FIXTURE BSMT tsr 2-m) OTHER FIXTURE BSMT 19T 2ND OTHER
<br /> T ypE FL FL TYPE FL FL
<br /> Water Closet Floor Drains
<br /> Lavatory ' Sewer Ejector
<br /> Bathtub P Laundry Tray
<br /> Shower Washer
<br /> Kitchen Sink 3. Water Heater
<br /> Disposal Water Softener
<br /> Dishwasher ' Wet Bar
<br /> Sillcocks Miscellaneous
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<br /> 0 Yes,this section applies
<br /> The replacement of a Residential fixture or apolium that meets all three of the following requirements:
<br /> 1 r 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) $ 2.00
<br /> Total Permit Fee $
<br /> (Permit Fees Continued On Next Page)
<br /> 2
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