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,t <br /> J <br /> PLUMBING FIXTURES BEING INSTALLED � <br /> F1XT'�1RE T3SR9'1' ( 2`' O"I'I-IER F[XTURB BSMT 1 2' OTEIER <br /> TYP� FL FL TYPE PL F'L <br /> Water Closet Floor Drair�s <br /> Lavatory Sewer Ejector <br /> Bathtub Laund�y 7'ray <br /> Sl�ower Washer <br /> Kitchen Sitik � Water Heater <br /> 1 <br /> Disposai W'ater Softener ---�"� <br /> Dishwasher Wet Bar <br /> Si{Icocks Miscellaneous <br /> ' PERMYT FEE C�ILCULATION(S) <br /> �BASED OFF.- 2002 STf1T�E STATUF <br /> � Yes,this section applies <br /> 'I'he replacement of a Residentia!fixture or anpliance that meets all three of the following requirements: <br /> I. Does not rec�uire modification to eleetcical or gas scrvice, <br /> 2. Has a total cost of$500,00 or less;exetudine the cost of The fixture or appliance:a�ld <br /> 3. ls improved, installed or replaced by the ltome��:�ner or iicerised contr�ctnr. <br /> Skip next section, if this appiies; Cost of Permit $ I5.00 <br /> State$urClaar�e $ ,50 <br /> Mail-C�aFee(IfApplicable) $ 2.00 <br /> T'otai Pei�mit Fee $�� <br /> (Pci�rnit Fees Continueci On 1�'ext P�ge) <br /> 2 <br />