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Feb 03 2015 02:12PM HP FaxScherer Plumbing 9524476735 page 2 <br /> �-�„ �� - 4,,.. ... .. nV �� , �....., .. . ..�' _ •�r2?;LI�%, <br /> - � ' . :.. Id_ �i..' � � ��` ' � �p <br /> . ..nA,s. .�::. ._.- �.��. � ' _.......1 . , " ...:-Fk'� �!mN4re.Mn fii?..�.�-..2'�� .,. <br /> FIXTURE BS'vIT 1� 2ND UTHER FIXTURE BSMT I 2 OTNER <br /> TYPF, FL FL IYPE FL FL <br /> Water Claset � � , Floor Drains , , <br /> Lavatory � � � Sewer Ejector <br /> Bathtub j ` Lawidry Tray 1 <br /> t <br /> Shower , � � Washer i <br /> Kitchen Sink , Water Heater � <br /> Disposal • , Water Softener <br /> Dishwasher � Wet Bar 4 , <br /> Sillcocks /� Miscellaneaus <br /> � °i , � s i t�n t� c " I t1'� �A��I t ��'t'�d�.` t� f c i�,r : . . <br /> s1,����E'g�. ' '�I.� i .-i , C��J''w��"ll�','��-Cr�4: �'1' �'�"a� ��.. 11I i( �al i Ur ��'`�� �C�1:i�I���i <br /> ���� �s� ���r �+ li�., t �;�,���`j�����I-�''��� ����'�"���"���.� �� <br /> �, ��rt �..� �z ' ��;�,i'�tGrl,rl r .th= � �� . <br /> ❑ Yes,this section applies <br /> The replacement of only one Residentia]fixture or�oliance that meets all three of the following <br /> requirements: <br /> ]. 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 replac�d by the homcowner ar licensed plumbing contractor, <br /> Skip next section,if this applies; Cost of Permit $ 15.�0 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Tota1 Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />