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Feb 15 2008 11 : 58RM STEWRRT PLUMBING 7634281733 p. 3 <br /> FIXTURE BSMT 1 2 O'i7�R FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet �7 � � j Floor Drains � � <br /> L "1 <br /> Lavatory � ' 1 � SewerEjector <br /> ` 1 <br /> Bathfae�-}� 1 � Laundry Tray � I <br /> 1 <br /> Shower 1 '� � � Washer r � � <br /> � <br /> Kitchen Sink I ; Water Heater � ' <br /> Disposai � Water Sofrener � <br /> Dishwasher � � Wet Bar r � ' <br /> 1 <br /> Sillcocks � : Miscellaneaus <br /> ���r � t?`� �'' L�K'�'z;1'-z � ,k '�- <br /> x r <br /> ,�;� 1.� t 4 <br /> .z y - �d + .��� �,�,���'���, � ��s�1�"��r?�����iiF;1�e���Y� <br /> � t�� d, <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following reguirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2, Has a tutal cost of$500.00 or less;excludine the cost of the fixture or appliance: and <br /> 3. Is improvcd,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ ,Sp <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit F'ee $ <br /> (Permit Fees Continued On NeYt Page) <br /> 2 <br />