Laserfiche WebLink
FLU�IBING FI�T[TRES BEING INSTALLED <br /> FT�TCTRE BSAIT 1 ? OTHIIZ FIITCTRE BSAIT 1 '_ OTHER <br /> 'I'�PE FL FL TI"PE FL FT.. <br /> ��'ater Clocet __ _�_.__ ._._.___ F�ior Di•�n1; rt� ��� � <br /> La��toit• Se�ver Ejectar <br /> 3 <br /> Batl�h� ; L�inuu�-Ti<�n- <br /> S1u��e-c�- ��'a�l�er <br /> Iiitch�i Suil: �Vater Heater <br /> Di�po:al �ti'�tei•Sc�$ziier _ <br /> Di:�ln�-�:l�r �Vet B�n <br /> Sillcuck� nii�cell.vieai�� <br /> �� PERRrIIT FEE C�L�GUI��T`It�N{S) � <br /> B�SED (aFF- ?UO? SZ'ATE ST.�T(.TE <br /> ❑ I"e�,tlus:ection�q�pJie; <br /> Tl�iepL�ceinei�t ofonh-oiie Re�iclei�ti�llti.�in•e or appliaiice tl��t n�eet��lltln�ee oftl�e folki��-nu <br /> rec��.n e�i�i�t�: <br /> 1. voe�iv�t reqiti�e n�ucliiycati,��nto elec,ricalor����enYce. <br /> _. H�:a tatalcc��4 nf$500(10 rn�k�s: e�chuln�tl�e c�st i�t tl�ti�tin-e ar appli,�u�e:<uicl <br /> 3. I�nr}�r����eil,nl�talled or repl��ced bti-tl�lu�n�u��7te��or Iicc�L.erl phni�n�coi�h ackor. <br /> Skig�i�e:,t secti��i�, �tlti;�pgh+e.: C��ct afPeii�rit � 1{.i)0 <br /> State Sin�rlk�i;�e $ �.Uf1 <br /> n��ilInFee(If_=�pplic�ble) g 3.00 <br /> Tot:�l Pennit Fee $ <br /> (Peiirvt Fees C�onhnued On Nesr Page) <br /> -, <br />