Laserfiche WebLink
--__ —____r_�e�__ ��_,_..._._. �� <br /> FI�L1�7�1NG FIXTURE�B�:�NC INSTALI,ED <br /> FIXTURE BSIviT 1 2' OTHER FIXTIIRE BSMT 1 2' OTHER <br /> TYPE PL FL TYPE FL FL <br /> —i-�_� — <br /> Water Closet � � 1 filoor Drains / <br /> Lavatory � Sewer Ejector <br /> Bathtub ` i Laund.ry 1'ray � <br /> Shower � � �Vasher r <br /> Kitchen Sink �Water F3eater <br /> 1 � <br /> Disposal r Water Softener <br /> ! i <br /> Dishwasher Wet Bar / � <br /> E <br /> Sillcocks � � Miscellaneous � <br /> �--- -------— _ ____ <br /> __— --- _�_ _------ -- <br /> PI�R�1T FLC C�l t:l,I,A i-CO�`�(S j �� � � � <br /> Hr�SE€}OE�'� �OC�2 �`t'll�� ST�Tt�E I <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential tixture or appliance that rneets all three of the following <br /> requirements: <br /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;ex�ludin�the cost of the fixture or appliance:and <br /> 3. Is improved, installed cr replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section,if ihis a�plies; Cost of Yermit $ I5.00 <br /> State Surcharge $ 1.00 <br /> N1ail-ln Fee(If Applicable) $ 2.00 <br /> Totaf Permit F'ee $ <br /> (Permit Fees Continued On Next Page) <br /> � <br />