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� ���� � PLUMBING FIXTURES BE��1G INSTALL�D �� �� � <br /> FIXTURE BSMT l�r 2�D OTHER FIXTURE BSMT 1�T 2�D OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater /f <br /> ,_1_, <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> � � � � �� AERMIT FEE CALCULATION(S) ��� � � <br /> BASEU OFF - 2002 STATE SZ'ATUE <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ I 7 c-;�, <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />