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FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater � <br /> Disposal Water Softener <br /> Dishwasher Wet Bar � <br /> Sillcocks Miscellaneous <br /> �X'f'e''��` �`�'�.,:3 'f'rC=,^ <br /> h4 <br /> �sh',�y ��..� <br /> 0.��4,��',�;;►�r� <br /> , _� � r <br /> � � ,,:� ;�,��. ����� �� `v��y5�t <br /> �� g���P3�,���. a�i�sr� �b a*�� <br /> . . . � . .. . . _.p �. <br /> .,, ' .� � .. :.•,.. '� P � n .. <br /> ,.. �,z.. .�.�i. ..._...._., dry ..� <br /> ❑ Yes,this section�plies <br /> The replacement of a Residential`fixture or ap�liance that meets a1J�tl�iree of the following requirements: <br /> 1. Does not require modification to electrical or g�s service. <br /> 2. Has a total cost of$500.00 or 1e�ss;excludin�the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced b�the homeowner or licensed contractor. <br /> Skip next section, if this applies; ,,{ Csst of Permit $ 15.00 <br /> % ' State' rcharge $ .50 <br /> Mail-In (If Applicable) $ 1.50 <br /> Total Permit ee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />