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Feb.l�.•20C� 04:01 PAGE. 4/ 4 <br /> P�, �1�NG IXTURES BEiN NSTALLED <br /> FIXTURE t3SMT 1` 2 OTHF.R FIXTU.Ft�i BSMT 1� 2 UTH�R <br /> TYPF FL FL TYPG FI. f�l. <br /> Water C'loset z Floor Drains � <br /> I.avniary 3 Stlwnr ls,jector <br /> Bath�ub � I,�undry, 'I'ray <br /> Shower � V WAsher <br /> 1 <br /> Kitchmn Sink � Watmr Flea�ter � <br /> Disposal Water Softcner � <br /> 1)iahwashar � Wet Har J �. � � <br /> 1 <br /> Sillcockg 2 Miwcellxnoc�uv <br /> F��.f�vl �B�tALCULATiC�iV(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yus,this sticl�un epplicy <br /> 7'ha repl�cert+cr+1�f a Rasider�ltal fixturo�r�{ypliunce iNH�meets E�II tMree u�'ttic f�sll�swin�rcyuiromoNts <br /> I. es not require m�difiication to electrical or gas service. <br /> 2. Has n Iott�l 4osc or$500 00 nr Iess;�ju�the cosr of Ihe fixture or Wpplinnco: and <br /> 3. Iy improvefd, insU1110d or repl�IC�(1 hy Ih�hp�tlWwner pr Ilwnstxl W111faclor. <br /> Skip next seclion, if this spplies; Cost of Pcrmit $_��5.00 <br /> SIpfCS�ll'{;Ilflfj{C �_ Sq <br /> Mail-In 1'c�e(If Applic:xble) $ 2.00 <br /> 7'utal Permit Fee � <br /> (PCI'ttlll I�rEb(�u�ui�ur.0 on nr.��Pn�r� <br /> Z <br />