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� � , <br /> . , <br /> .; <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains , <br /> �, <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Ttay <br /> Shower Washer <br /> Kitchen Sink Water Heater � <br /> � v <br /> Disposal Water Softener <br /> .� <br /> Dishwasher Wet Bar <br /> Sillcocks , Miscellaneous <br /> PERMIT FEE CA�.,�ULATIQl�1(S) �." <br /> � BASED OFF��2002�TATE STATUE ` _- .�� <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixtwe 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 to 1 co 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 $ S.OU <br /> �� Mail-In Fee(If Applicable� $ 2.00 <br /> Total Permit Fee � $ �: x '' <br /> � �. <br /> . • �.. <br /> i <br /> (Permit Fees Continued On Next Page� <br /> " . , <br /> ' <br /> 2 <br /> � <br />