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�3/1$/2016 FRI 18: 59 FAX 612 8ZZ 5a08 A1' b Mabtpr Plumbimg �003/407 <br /> A V ,lWr(�'v ��1��}�M � �M ,f�� 6� A u. �1] �Im I <br /> hYl <br /> FIXTLRE BSMT 1 2 0�'I��R FIXTliRE $SMT 1 i 2 OT�-I�R <br /> �� TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains , <br /> I I,avatory Sewer Ejector <br /> Sathtub Laundry Tray <br /> Shower Washtr <br /> ZCitchen Sink � ter I-Iea[er <br /> ' Disposal en r <br /> �i Dishwasl�er Wct Bar <br /> I Silicocks Miseel neous <br /> � <br /> ,, � �j AI , �5 <br /> `� � <br /> pL��rr�:���r�,�tr1.:��roN�s� � <br /> - ,���i�c�r�=�oo�,�T�T�sT�i. ,�, <br /> ❑ Yes.lhis sCCtion applics <br /> The rcplaccmcnt of only one Resideiitial ture r a lia t}aat meets all tlu'ee of the followin� <br /> requircmcnts; <br /> 1. Docs not rcquire mndification tp�c �cal or ga�service. <br /> 2. Has a total cost of$500.00 or .s;excl ' the cos�of th.e fixture or appliance:and <br /> 3. k improved,installed or re ced by�he ho owner or licensed plumbing coniractor. <br /> Skip�aext section,if s applies; Cos�of P it � 15.00 <br /> State Surcha $ ,5,00 <br /> iVlail-In Fec(!f licablc) $ 2.U0 i <br /> Tot:ll Permit Fee $ <br /> � <br /> 1 <br /> (Permit Fees Conrinued On Next Puge) ! <br /> 2 <br />