|
02/09/2015 14:36 FAX 9529a35049 CULLIGAN �NTKA C�006
<br /> w.�;., . ��.�.,a. ,�.e,��t� ,�'_ �7�Y. ._ "a ' � �,,,���,,,.d,.r.-�. „�
<br /> � A�I� , , ,�� �.�,,-' �
<br /> ' ,"1u;P�'e2 ��i��..j�Iqv{iir�',i�h.vmAli 7�,�`J-� ��,T� [�Dy-.�',}��/'1� r�t�1'���T y+ �'�q, "l i � Pt � �y.•�ci• .
<br /> i"�il��r'.�a.S'v:i7'''',I'rx�1.�7n�.r:���',A�.a:" „1;.�L','��1LV'.\T;����.n.'�' �7'�'DiY,►'L��:T�� �;i'rJ'J';+J.:��L"i'. q,:, �"P;'.��.��r,i..���;1)�6�I,�i1.4�.1`�d��,�;',�i
<br /> FYXTURE BSMT 1 2 OTHER FIXTURE BSMT I 2 OTI�ER
<br /> TYPE FL FL TYPE FL FL
<br /> water Closet Floor Drains
<br /> Lavatory Sewer Ejector
<br /> BAthtub C�aundry Tray
<br /> Shower Washer
<br /> Kitchen Sinl: Water I�eater
<br /> Disposal Water 5ofrener �
<br /> bishwasher Wct Bar
<br /> Sillcocks Miscellaneous
<br /> �Y�N'�..,i�yi,n���,.;Jl�l�':�'�:' 'i.(��IxI:���:N'�t)�,1-`'.inf�l;�,ai':'x.'y'.Jej 1•1 1�" '.,1. ..�� r ���..��1'�y.�4. �..� �N'I:':1'�,.iif'., 'A'r.'� �
<br /> ����P�",,�,;i�;u�C'��;.w�A i�,l',t�' '.)1��1,�;�� :.�,Y:y S i f �' '�:�A,•r'i5,���'{ ,���'�:y�T�,.�i.�`y,�i�;���'I'^''��r}l:�'NVd.dJ)��(V
<br /> ..� � t..,, ,:a�. ��„ �:,,;�, ,;,������E�,��,����ro�lv�.s�, „�>, ,,
<br /> ',r� .,�v;.ri' (•.';r' "! :'GI'�i ':I;,�b�-. ,a,.,�. „r.. �,r i�,a,��. �� p,. i � :y�, r,;,,,��
<br /> r, ' �.,1J ,I'�.l :ri:4 11"{ �� .�'� ..I� ,�y,�, „FJ ,� !`�4 p� .:7�.�r�
<br /> :3y�i'��';4'. �.I�r�;i.'..F,� ,� ,F;; ;�. �� 1 y. � .��,,;'"';,�'' .�x,.,� '��''� ,?� 'i'„ i:'
<br /> !<S'Y i, •��i;, ,��"�r,; ��'7-� 7�{� �{},�'� [1�,7,ry�A�` �!'y��7�!�7'� i ' �-�.i�l�� 'r i •.4''+.?
<br /> �''n^,�,,'�'e��r�.;r'�, ?,r�,ti,�� ..�l��.r.�i�,"�� ii,i;"i�,'��'1��'l/�Y'���I'�'i'�';—'LJ'�RJiV�?�L�,L�,C]=L;1✓,'��,i'�fL]7'l.lC����.ii� .li.�'i .�I.�,t":�l'� ,',�i�ih',�'��yl;,�����'��„
<br /> � Yes,this section applies
<br /> The replacement of a Resideneial fixture or apnliance that meeu ali three of the following requirements:
<br /> 1. Doas not require modification to electrical or gas service.
<br /> 2. Has a total cost of$500.00 ar less;excludin�the cost of the fixture or appliance:and
<br /> 3. Is improved,installed or repleeed by the homeowner or iicensed contractor.
<br /> Skip next sectipn,if this applies; Cost of Permit $ 15.00
<br /> State Surcharge � 5.00
<br /> Mail-In�'ee(Tf Applicable) $ 2.Op
<br /> Total Permit�'oo S
<br /> {Permit Fees Conrinued On Next Page)
<br /> 2
<br />
|