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` , PL:;TJMBINf'r"Fi��R�ES>BEINGII��I'A;F:�EI�,:;s�, �_-.; . ...�:;,..�:`... ; <br /> FIXTLJRE BSMT I 2' OTHER FIXTURE BSMT 1 2"D OTf�R <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower W asher <br /> Kitchen Sink Water Heater � <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> PERMIT EEE C�LGL7LATIC�N(�} � `� ��u ��,� <br /> � - � . . `� .�- <br /> r . � t <br /> BA,SFEDF(J�F� Z�0'?"S 1'ATE �'I�`�,.�.UE' _ ��.. . y�� X �� <br /> v Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three ofthe following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fiature or appiiance: and � <br /> 3. Is improved,installed or reptaced by the homeowner or licensed contractor. <br /> Skip ne�ct section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $�� <br /> (Permit Fees ConNnued On Next Page) <br /> 2 <br />