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- PLUMBII�T�FIXTURES�EIN�INSTALLEI) ' ; <br /> FIXTURE BSMT 1 2�D OTHER FIXTURE BSMT ls 2 OTHER <br /> TYPE FL FL Tl'PE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower W asher <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATI07�T(S) " <br /> BASEI�OFF-200� STATE STAT`UE, . <br /> � Yes,this section applies <br /> The replacement of ar6y one Residential fta�ture or a�pliance that meets a11 three of the following <br /> requirements: <br /> l. Does not require modification to electrical or gas service. <br /> 2. Has a tota] cost of$500.00 or less;excludin�the cost of the fixture or appliance:and <br /> 3. Is improved,insta}led or replaced by the homeowner or licensed plumbing contractor. <br /> Skip neat section,ifthis applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-Tn Fee(If Applicable) $ 2.00 <br /> 'T'ot�l Permit�'ee ��� <br /> (1°er�eit�ees Cooztinued �n T��est�'��e) <br /> 2 <br />