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� �2/06�?2012 04:45 7637535125 NOWTHEN PLUMBING PAGE 03/64 <br /> PLUIVIB�IIVG�'I��"UR�S BEI�1'G X'N�'I'�L�Eb ' . <br /> rIXTURE BSMT 1' 2"� OTt-[ER FTXTURE aSMT 1� 2 OTHER <br /> TYPE FL FL TYP.E �, p� <br /> Water Gloset ,� Floor Drains <br /> 1 <br /> Lavatory ,� Sewe�Ejector <br /> Bathtub ,� Laundry Tr�y <br /> 1 <br /> Showcr Washcr <br /> Kitchen Sink ,� Water Heater <br /> Disposal Water Softener <br /> bishwa.Sher ,� Wct Bar <br /> Sillc�cks Miscellqncous <br /> ���xr:�E�c:�r�c�rt,:�m1.�,rr�s��,��;,,..: ... „� ,., <br /> HAs.E�J �rF-2002 sT�'1�sT.4T�JE > ' :`;:. . <br /> ❑ Yes,this section Applies <br /> The replacemcnt of only one Residential fixtttrc or an liance that.mcets all three of the following <br /> requiremcnts: <br /> 1. D not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; e din the cost of the fixture or app)iance:and <br /> 3. Is improved,installed or retilaced by the homeowner or licensed plumUing contraetar. <br /> Skip next section,if this applics; Cost of Permit $ 1 00 <br /> State Surchargc $ 00 <br /> Mail-Tn Fee(!f Applicable) $,� <br /> Totul Permit Fec � <br /> (Permit Fec�Continued On fYczt pa�c) <br /> z <br />