Laserfiche WebLink
� , . <br /> PLUMBING F'IXTURES BEING INSTALLED <br /> FIXTURE BSMT ls� 2�D OTHER FIXTURE BSMT l�� 2"D OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floor Drains <br /> Lavatory � Sewer Ejector <br /> Bathtub � Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal ' Vl�'ater So:tener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATION(S) <br /> QASED OFF - 2002 STATE STATUE <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. Dees not�•ec��iire modificatioa to electricai or�as service. <br /> 2. Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed piumbing contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee � <br /> (Permit Fees Continued On Next Nage) <br /> 2 <br />