Laserfiche WebLink
� . . <br /> PLUMBING FIXTURES BEING INSTALLED ; <br /> FIX"I'[JIt�' BSMT 1 2� O"fI-IEK FIXI�URE BSMT 1' 2�� OTHER <br /> "TI'PI; FL FI, TYPE FL. FL <br /> Water Closet I Floor Drains <br /> Lavatory 1 Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower 1 Washer � <br /> Kitchen Sinl: t Water Heater I <br /> Disposal � Water Softener <br /> Dishwasher � Wet Bar <br /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE <br /> Q Yes,this section applies <br /> The replacement of'a Residential ti�ture or appliance that meets all three of the Yollowing requirements: <br /> I. Uoes not reyuire mociitication to electrical or gas service. <br /> 2. f Ias a total cost of$5(X).fX)or less:excluciine the cost of the fisture or appliance:and <br /> 3. Is improved,installed or replaced by the homeo�vner or licensed contractor. <br /> Skip nest section,if this applies; Cost of Perniit $ 15.00 <br /> State Surcharge $ .�0 <br /> Mail-In Fee(If Applicable) x 1.�0 <br /> Total Permit Fee � 17.00 <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />