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-----.. <br /> PLUMBING FIXTURF,S BF,ING INSTALLED <br /> FIX I UItE BSMT I'T 2'�D C)THER FIXTURE BSMT I� 2� ' OTHER <br /> TYPE FL FL TYPF, FL FL <br /> �tcr Closct Floor Drains <br /> Lavarory Sewer Ejector <br /> Bathtub Laundry_ Tray <br /> --—� - -- - <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> I�isposal � W�ater Softener ' � I <br /> Dishwasher Wet Bar <br /> � <br /> Sillcucks Misccllaneotts <br /> ,- - — — — —__---- — <br /> ; PERMIT FEE CALCULATION(S) <br /> ' BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this scction applics <br /> The replacement of only one Residential iixture or appliance that meets all three of the following <br /> requiren�ents: <br /> I. Does not require�r�odification to electrical or gas service. <br /> 2. Has a total cost of 5500.00 or less; excludin�the cost of the fixture or appliance: and <br /> 3. Is improved,installed or�replaced by the homeowner or licensed plumbing conh-actor. <br /> Skip ncxt scction, if this applies; Cost of Pcrnlit �; �S.pp <br /> Statc Surcharge 4,' S.pp <br /> Mail-In Fee(If Applicable) ;� 2.0(1 <br /> Total Permit Fee $ �1-�.•'00 <br /> (Permit Fees Cuntinued On Next Page) <br /> 2 <br />