Laserfiche WebLink
� <br /> �- PLUMBING FIXTURES BEIIvG INSTALLED __ —� <br /> FIXT'UI2E BSMT 1 2` OTHER FI�TURE BSMT 1' 2'� OTH�R <br /> TYPE rL PL TYPE FL PL <br /> Water Closet ,� � � Ftoor Drains � <br /> Lavatory ,� � � Se�;�er Ejector <br /> Bathtub � i i Laundry Tray / <br /> Shower ( ` ' Washer / <br /> I <br /> ICitchen Sink � Water Heater � <br /> Disposal Water Softener <br /> Dishwasller � Wet Bar � <br /> Sillcocks � Miscellaneous <br /> PERMIT F�E CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements: <br /> l. Does not require modirication to elecri�ical or gas service. <br /> 2. Has a total cost of$500.00 or less; excludin�the cost of tlle fixture or appli�ulce: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Slcip next section, if diis applies; Cost of Pern�it $ 15.00 <br /> State S«rcharge � .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> 1 otal Permit F'ee � <br /> , . ,. �����5 1 <br /> (fl'erniit�ees Continued On 1�1e�t Page) <br /> � <br />