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�] No. __�,,_ Kitchen E�chaust� duct _ recirculatin� _�cfin <br /> ❑ No. Bakh Exl�aust(n�ust have duct outside} ���� <br /> ' [,� No. __ Other Fans: �,ocations �,,� �_ c� <br /> U L ST G (Must be approved by�lre Marshall�j,�roposing to abandon tank in pCace.) <br /> ❑ lnstal3ation ❑ Removal <br /> Fuel Uil: ��sllons ❑ Underground ❑ inside �Ol�iside <br /> LP Gas' � gallons <br /> Uthe�' _._ �... __._._ <br /> (' INE ONL <br /> �] Outdoor Grill � Oth�r/List Wk�at& Where�w �,� <br /> 2 <br /> � r n ,�,'� � r r�„r �, �� <br /> + � , � �� e p <br /> � ��'�� . �J'��; ^,��', y � <br /> Ia���.�H� Vg�y ��.G�Y�,I .:,ry 7� a"r�+i�f1 ��+k��� "'.�f ) sypu 11? i^"��'F"�"'+�1 M'1�a � t,31J�.9� <br /> 6 a�ah7�'�� 'i �" .�, � ���'�27�'Fk i�-%�� ,�. � r�":�} �1, ,� <br /> p r <br /> Q Yes,this seceio�n applies <br /> The replaoement of a�esidentittl fixture.�t���eets al)threc of the following requarernents: <br /> 1. oe t requi�e modi�cation ta el�etrica�or gas service. <br /> Z, Has a to cost of�500.0(}or�ess; c udi tk�e cost o�the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> 8kip next saction,sf this applies; Cost of Permit � •�Q <br /> State Su.rcharge ��� <br /> Mail-In Fee(If Applicablc) $ 2� <br /> Tot�l Pe�rmit�'ee �� <br /> . � _. , ;� <br /> , " ��'� . . u ': <br /> , . , <br /> . . W , , . , - , . <br /> , <br /> ,. ,., , . <br /> �;,� � �., ,.,,�� � , ������� �; � � <br /> If above does not apply;follow guidelines belqw' <br /> 1. CONTRACT P�� ` is 1.�5%of cc�rrtract price rvsth a(Mi�imum Fee of�50.00) <br /> �"7l'`��) 'D t'� „,..� m �"! � .� �y,.�. <br />