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F <br /> � <br /> 'yt..�,��pb��,.3�r�:�~� "..?i} - �.q�','1t " y,�� ji�•,� �'� „ o r�-" ' ,id��,�_ <br /> .!<�PMi;.-;.���-0�.rr,t'•�:YS�µd��~��:t'��� ,+Y. - ,�f�K 4`_ - - ' <br /> _� _ - <br /> gIXTURE BSMT 1 2 OTT-iER FIXTURE BSMT 1 2 OTf�R <br /> TypE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom I.aundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener � <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> - ,�.i:. Y.n „`t,n .}', 7 ' "'y`lr�i'l.i�i��S�3,�i A'}1'��:.,.v' :(..�' :.i..&,�' - <br /> ,�a,; :�i:� .:�,A��'���_. �.�l�, #"��,,'�;:.;�.��: f h _ <br /> . �'a'� ' ;:fi� . <br /> '�r' <br /> .�+�+ v:t� <br /> h vy �t II' <br /> �'���'e 5.�� h{�`�'� <br /> ,y'; .Y, <br /> ,t.u`, <br /> r��, �r� �f�+�{ ��,�j,'���'�, <br /> .��� <br /> J; � <br /> ♦k�' .�3. �� <br /> `,�Y .�;`.l'a ;.�f�it3i.r:��'_"�1.�1fL'�s2����"I':r l. - <br /> � Yes,this section applies <br /> The replacement of a Residenrial 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;excludins 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 Pernut $ 15.00 <br /> State Surchazge $ .50 . <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee S� <br /> (Permit Fees Continued On Nezt Page) <br /> 2 <br />