Laserfiche WebLink
May 01 14 06:51 a Water poctors 7635351805 p.3 <br /> � ' �'LUIt+113�1�G FLXT[;T�E�B�.i IN�TALL�II <br /> FIXTURC BS\1T l 2'�D OTHER FIXTU j BSMT 1Sr 2ND OTHER <br /> TYPE FL FL TYPE i F� ��, <br /> �4`atcr Closet Floor B ins <br /> Lavatory Sewcr ector <br /> Bathtttb Laun Tray <br /> Shower Washer <br /> K�tchcn Sink , VVater ater <br /> � <br /> Disposal Water S ftener f <br /> l <br /> I}ishwasher Wet Bar <br /> 5illcocks i�Iiscella eous <br /> PER.MIT FEE C1�I.,CtLA 1�'_�!{Sj <br /> BASED O�'F 2002 STt1T STA'�'U� <br /> ❑ Yes,this secron applies <br /> 1'iic replacement of anh�nne Reside�3tial fixture ar appliance tha meets all three of the following <br /> requiremenfs: <br /> L Does not require modit5cation to electncal or gas s ice. <br /> ? Has a total cost of$500.00 or less,eacludin�the c t of the fixh�re or appliance:and <br /> 3. 1s improved,installed or replaced by thc horneoa�n or ltcensed plumbine wntractor. <br /> Skip next seclion,if this appfies; Cost of Pe tit $ 15.00 <br /> State Surc rge $ 5,�� <br /> ;�[ai]-[n Fe fIf Applicable) � 2.Q0 <br /> TotaF Per it Fee $ <br /> I i <br /> (Permit Fee5 Continued Ou NexE Page) I <br /> 2 II <br />