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Nov 27 i'5 09:42a Water poctors 7635351805 p.2 <br /> � _�• A _ -- <br /> FIYT[;RE BStiIT I T 2"n '� OTHER FIXTURE BSh'1T 15 2"D OTNF;R <br /> iTYPE FL FL I TYPE � FL FL <br /> ' 1�Vater Closet � � I i�loor Drains � I <br /> , La��atory i Seti�"r Ej ector i <br /> Batiucb I � � Laundry"Cr2y j � <br /> Shower i � «'asher <br /> — — �— <br /> I�itchen Sink � , 1Vater Heater <br /> Disposal � � Water Softener <br /> I II 1 <br /> I <br /> pisfivasher i �� � Wet Bar <br /> Sillcocks Miscellaneous <br /> _.� - O _ ,s.=,, <br /> � - -�"�i, <br /> -..... <br /> ai ._ � :��. <br /> � Yes,this section app:ies <br /> The replaccment of only one Residential fixture or a liance that meets all d�ree o:the follawing <br /> reqtirerr.en[s: <br /> 1. Does not require modification to elecErica]or gas service. <br /> 2. Has a total cost of��OD.OU or less;excludine the cast of the fixture or appliance: and <br /> 3. [s improved, i�s�alled or~eplaced�y the homeowner or licensed plumbing contrac±ar. <br /> Skip next section;ifthis applies; Cost ofPer.nit $ I�.OD <br /> State Surchargc $ 1.00 <br /> Mai]-In Fee(IY Applicable) $ 2.Oo <br /> Total Permit Fce $ /$�c� <br /> (Permit Fees Continued On 1'ext Page) <br /> 2 <br />