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. <br /> - PI:�Ti�����F'.'`LK�`�:I�.B°E�TC�I�IST.A�,LET}, �_ <br /> FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTf�R <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floor Drains <br /> Lavatory � Sewer Ejector <br /> Bathr�ee�e� I Laundry Tray <br /> { <br /> Shower ` Washer <br /> I <br /> Kitchen Sink I Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> ��a��.� ��� �- �<<�c��� <br /> -= <br /> �..:: : ������c�.�;,�.,�.��o�v�s> � <br /> �-�� � - : - <br /> = BA��D��'):�E-2.442 ST.t�:`�'�,S'�A�� � , - <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets a11 three of the following requirements: <br /> 1. Does not reyuire modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine 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 Surchazge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Negt Page) <br /> 2 <br />