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Sep 01 10 03:16p Tim Circle Plumbing 7637179138 p.3 <br /> PLUME3ING FIXT'URES BE[NG INSTALLED <br /> PIXTURE BSMT 1 . 2' OTf-�ER FTXTURE BSMT 1 2 O'I'I�R <br /> TYPE �L FL TYPE FL FL <br /> Water Closet i � Floor Drair�s � ; <br /> � <br /> Lavatory � � Sewer Ejector <br /> Bathtub Laundry•Tray ` <br /> Shower i. � Washer I <br /> ! <br /> Kitchen Sink � Water Heater � <br /> Disposal Water Softener <br /> Dishwasher � Wet Bar <br /> Sillcocks � Miscelia�eous <br /> ,�-. <br /> P�;RMIT FEE CALCLJLATION(S) <br /> BA��ED OFP -2002 STATE STATUE <br /> ❑ Yes,this sect�on appiies <br /> "The replacement of a Residential fixture or a,pplianc�that meets all three of the fotloti�+ing reqnirernents: <br /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;exc[udine the cost ofthe fixture or appliance;and <br /> 3. Is improved,instalted �r replaced by ihe homeow�ner or licensed co�tractor. <br /> Skip next sectiott,if t6is applies; CosY of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(lf App[icable) S 2.00 <br /> Total Permit Fee S <br /> tPermit Fees Continued On NeYt 1'age) <br /> 2 <br />