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� <br /> ' �`��� v ���"`��,� �' ' PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � � � Floor Drains � <br /> Lavatory � 3 / Sewer Ejector <br /> Bathtub / Laundry Tray / <br /> Shower / / Washer I <br /> Kitchen Sink / Water Heater � <br /> Disposal Water Softener � <br /> Dishwasher � Wet Bar <br /> Sillcocks � Miscellaneous <br /> �- PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> �s secrion applies <br /> one Residential fixture or appliance that meets all three of the following <br /> ��cation to electrical or gas service. <br /> �or less; excludin�the cost of the fixture or appliance: and <br /> � ,ed by the homeowner or licensed plumbing contractor. <br /> Cost of Permit $ 15.00 <br /> �'ate Surcharge $ 5.00 <br /> � Tn Fee(If Applicable) $ 2.00 <br /> �mit Fee $ <br /> ���� �� <br /> ,�U 7 <br /> � 1u <br /> a�° <br /> 2 <br />