Laserfiche WebLink
{ '; ` - ' ' r y '` �o��'�'�fR�1�k�P�����+�'����, , ��, it � �� ;` � 3 ,,', ' <br /> FrxTur�� asnnT i ? oT��� �rxruR�: �s�ir i z o'rr�r� <br /> "I�YFL 1^'L FL 7'YP� FL [�L <br /> VJater Closet � �'l�or Drains <br /> Lavatory � Sewer Ejector <br /> Bathtub Ldunclry 1'ray <br /> Shower � Washer <br /> Kitchen Siril: Waler He�ter <br /> Disposal Wat�r Suftener <br /> Disl�washer �et�ar <br /> Sillcocks M�scel laneous <br /> � ���� � -� n� r �� ����. �� <br /> � <br /> �, , ,m t � . _ „ , �� , <br /> � y � � „� � �� �� , , �+ , ' ,�;���f���'' ����- '' : ' � � I t < <br /> '.� ���`���'F� JP7i�i rk��4 � �� i�'�" � hi:,� ��. � -" � ��`' �� � �� rm ���AI �� o <br /> 1��������.���f���^Vi��,.���1����PU�� �..°,�4�1�^�n� a����^ ��' f�r'�k�. �_�'F '.��F'��A�S( ..� � �.���ii�n 1 �Oi��)•���� ��������f� �Il�INa� <br /> ❑ Yes,this si�ptic,n applies <br /> 1'ha r�placement of only one Resid�ntial fixcure or a lpl i�that mo�ts all chree of the following <br /> requirements: <br /> 1, Dues nut require�nodification to el�crrical or gas se�•vice. <br /> 2_ CIas a tat st of$SUU_00 or less;exeludit.0 the cost pf the fixture or appliance; and <br /> 3. Is impruved, installed or replaced by kh�homeowner or licensed plun�bing convact�r. <br /> Skip n�xt section,if t11is applies; Cost of Permit $ _I5.00 <br /> State Surcharge � �A� <br /> Mail-ln�'ee(If Applicabli:) $ ?-�� <br /> Total Permit Fee � <br /> (Permit Fees Cun�inued On.lVext Page) <br /> 2 <br />