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07/30/2007 15:44 FAX 9527587002 STASNEY MECH �j003/004 <br /> ,� ';'���� <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTT3ER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet / Floor Drains / <br /> � <br /> Lavatory / Sewer Ejector <br /> ! <br /> Bathroom Laundry Tray <br /> Shower / Washer <br /> Kitchen Sink ` Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks � Miscellaneous <br /> r,,--�---- --T--�-Ti,, �--�-�- —���,;�T-��-j�1�--- /M i �� <br /> �: �'}�h s; E f ,� �'rt 'r'�-+ r",�-�.��.'11tC�.��:��A�2 F�4.��R,�i�il^1{���������;. ��� .� y.rr�j'�--t`�C..i "�'� ,.,'�: <br /> �'.)r fy<�;-=--i .c. rT ' r '::.µ�,i '}'.�-�"�'3i'/11��t�i�.-L,zY�."r.,��t,7'�?j'�'i"�. f l�� ����.lL" �.;�"t�"' �r'_'�; rt � -r''4�"(�i�;. <br /> ^r <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets aIl three of the following requirements: <br /> 1. Does no require modification to electrical or gas service. <br /> 2. Has a tot of$500.00 or less;excludi�r g the cost of the fixture or appliance:and <br /> 3. Is improved,instal[ed or replaced by the homeowner or licensed contractor. <br /> 5kip next section,if this applies; Cost of Permit $ 15.00 <br /> State Sarchazge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />