Laserfiche WebLink
PLUMBING FIXTUR t STALL: k , ,'".' r *, h <br /> FIXTURE BSMT is! 2ND OTHER FIXTURE BSMT lsr 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray l <br /> Shower Washer 1 <br /> Kitchen Sink / Water Heater / <br /> Disposal I( Water Softener <br /> Dishwasher / Wet Bar <br /> Sillcocks Miscellaneous <br /> ;Or H g' s {'( r -t '%�L't'��y` <br /> d`` W <br /> �'7h; s? t, <br /> ❑ 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$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) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />