Laserfiche WebLink
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet ( Floor Drains <br /> Lavatory Sewer Ejector <br /> � <br /> Bathroom Laundry Tray 1 <br /> Shower W asher ( <br /> Ktchen Sink � �'ater Heater <br /> Disposal Water Softener <br /> � <br /> Dishwasher ' Wet Bar <br /> Silicocks Miscellaneous � � '�� •� <br /> '�� <br /> _ �e17N1�T f�r.�;c�� cu�_,f���,�oN(�> -- ���� <br /> __ _. _____._ _._�_B�SED C)I'1�_ 200? S TA`I�, STA I[1E.���. <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> �. Has a total cost ef$500.�0 or less; excludine the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />