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� � �;����s������T��,�� <br /> FLXTiJRE BSMT 1 2 O'THER FIXTiA2E BSMT 1 2 OTI-�R <br /> TYPE FL FL TYPE FL FL <br /> wgter�C toser l I a r toor vrains � <br /> Lavatory � / y Sewer Ejector <br /> ( <br /> Bathtub � + ^ Laundry Tray y t <br /> ol � ( <br /> Showex � � � Washer j I <br /> � <br /> Kitcheu Sink ,_._ � _, Water Heater 8 ��{t�ei <br /> Disposal � a � Water Softener <br /> Dishwc�ssher � � — Wet Bar <br /> Sillcoc,ks � Ivhscelleneoa,s t <br /> Ur'nal <br /> ` I��T ' " C.`���4;�T�3I�r��) <br /> _ ��1�.�L�f;J� "�t�,��'.'�'�'�'�.�TA'�'t,7� <br /> � Yes,this seclion applies <br /> '3'he replacement of a Resideatial fixturc;or apgliance that meets all three of the followiug requirements: <br /> l. D ea no require modification to elechios[or gas setvice. <br /> 2. Has a total cost of$500.00 or le�;excl ' the cost of ttte fixture or appliance: and <br /> 3. Is improved,installed or re�placed by the homeowner or lioensed contractor. <br /> Skip nexi section,if this applies; Cost of Permit $ 15'00 <br /> State S�u'ch�rge $ .50 <br /> Mail-Tn Fee(If Applicable) $ 2.00 <br /> Total Permit Fee S <br /> (Perm�t Fees Contieued On Next Page) <br /> 2 <br /> z 'd EEL i BZfrE9G 9N I HWfl�d 121df�31S Wd80 �6 0 T OZ 9 T qa� <br />