Laserfiche WebLink
n � ■ <br /> � � <br /> � <br /> ` PLUMBING FIXTLTRES BEING INSTALLED <br /> 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 Bjector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher � Wet Bar <br /> Sillcocks Miscellaneous •� . <br /> L /.li�.0 ..v�-• �t,'t�..�.� <br /> � ,' - . ; . PERMIT FEE CALCULATION(S) � <br /> " BASED �FF - 2002 STATE STATUE '' '' � <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the foilowing requu�ements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$�00.00 or less;excluding the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next 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 Continued On Next Page) <br /> � <br />