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9/24/12 02 : 05PM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg ' <br />� <br /> . , , <br /> ;`;� Y�,�,�,��,'�r '' <br /> FiXTURg BSM'l' � 2 OTHER FiX'1'URE BSMT 1 Z OT�R <br /> ,l,�pg �L g�, TypE FL FL <br /> wa�c�og�c � 1 �j Floor Draine 5 <br /> Lavatory .) ,) 6 8owr,r Ejoctor <br /> Bathtub 3 i�undry TraY 1 <br /> shoW� � 0 3 w�ba �, <br /> x��h�,s�� � w$�x��r � <br /> D�g��i � � wa��s�� � <br /> Dishwaaher .� 1 Wet Bsr 1 <br /> 8illcocks � M�°4��00'� <br /> x�� � ��� �� t � <br /> :�'J+�r7^Nfi' 4���,.���T1a'�'�1`�"�u�x�4�r,Y'tY �1�� ...;h � , u'P '�eJ`i'���.t�q{�,/�'� �k� lt _tk b<�` �, <br /> 2� �,�,1,� ,�r .r Y� ��� �}�� �� V11��� �F�.ti',�ik.W�� <br /> �:s �..� l�`i'.�M� �jji��Y^`�f'/Y�•. l�.k ,� C �IT <br /> � Yes,thia sectiol►sppliea <br /> The roplaoome�t of o�ly ono 1' that z�aee�s a�l thtee of the Yollowing <br /> requirament�; <br /> 1, j�oea not roquire modifiextiou to eLeatricai or gea servlce. <br /> 2. Has a��1 CD4S of SS00,00 or lesa;e�Lud'i�the oosi of the fixture or applianoo;and <br /> 3, Is improved,installed or replaced by the bomeowner or livcnsed plumbing oontc�ator, <br /> Skip next section,if ihi�applies; Cosi v£PcrmiT S 15.00 <br /> 9�t�Surchargc $ 5��4 <br /> M�,il-In Feo(if Applioeble) $��4 <br /> Tbtrl Permlt Foo S <br /> (PO�nf[Feoa Contiaued On Nazt Pa�e) <br /> 2 <br />