Laserfiche WebLink
ti <br /> � <br /> _� � ���,� � � � � PLUMBING�FIXTURES BEIl�_y ���TALLED � "����'� ������� , <br /> FIXTURE BSMT 1' 2 OTHER FIhTL)RE BSMT 1 2' OTHER ' <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower W asher <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> �,vt�s,.�s tilAcv v�F�c��i�+�� U��u�-�tor.( t���� <br /> � PERMIT FEE CALCULATION(S) � <br /> � BASED OFF - 20U2 STATE STATL7E � <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> 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 plumbing contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ �� <br /> Total Permit Fee $ �.� <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />