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� . �. .,., <br /> ; , PL:FI�VIBINCr'FI�'FC1�I?�ES>BETNG FI�TA:���T�'{� �`;_ v ..���,�.`�;. '. <br /> FI�YTURE BSMT 1 2' OTHEK FIXTURE BSMT 1 T 2"D OTF�R <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 <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> : = P�RIVIIT FEE C:ALGUI.ATLf?N(�} � '��x^, <br /> � ; BASED�t�F'F - 2�0?��TA"T� SZ�'�U� �:�.,- �{:� ' <br /> 'y,j ' Yes,this seciion applies <br /> � The replacement of a Residential fi�cture or appliance that meets all three of the following requirements: <br /> l. Does not require moaification to electrical or gas service. <br /> 2. Has a tota(cost of$500.00 or less;excludin�the cost of the fixture or appliance: and � <br /> 3. Is improved,instailed or reptaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Pertnit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 . <br /> Total Permit Fee $� <br /> i�7. csc.� <br /> (Permit Fees Continued On Next Page) - <br /> 2 <br />