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06/11/2415 THU 12: 38 FAx 763 473 8565 Sabre Heeting b Air Cond �003/007 <br /> i <br /> I FIXTUl� BSM'I' ] 2 OTHER FIX'ITJRE DSMT 1 2 0'�:R <br /> TYPE FL FL TYPE FL PL, <br /> Water Closet f � Floor Drains � <br /> Tlnvatory r f Sewer�jector I <br /> r <br /> Bathtub Laundry Tray <br /> Shower � Washer <br /> Kitclien Sink / Water Heater <br /> I Disposal � Water Softe�er <br /> i Dishwasher / � Wat Bar � <br /> � Sillcocks ' Miscellaneous <br /> I <br /> I <br /> � <br /> , <br /> � � Yes,ihis secuon Ap��lies <br /> � T'he replacement of only one Residential fixturs���t nliance that meets al!thrse of the Following <br /> requirements: <br /> 1. boos not r�quire modification to electricctl or gAs servioe. <br /> 2, Has a 1 c at of$500.00 or]ess;g��g the cost of the�xtu�re or applianca:and <br /> 3. Is improved, instslled or replaced by tho humeowner or licensed plumbing contractor. <br /> Skip next s0ction,if this applias; Cost of Permit ��00 <br /> State Suroharge � S.OQ <br /> Mail-ln Feo(If Applicable) � 2.00 <br /> '�otal permit Fee $ <br /> (Pe�rmit Feea Continued On Ne�t Page) <br /> �i 2 <br /> i <br />