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c <br /> �4�'�.T�';£=� �i$ e..5 � �F .,._ k . <br /> ����-�q��.�������� �I��IN'G���T.1���`$ET�tG II�=��'�1.L�EI� - �- � <br /> � ��_-�, <br /> —— `��� ��w��=�`�'-- <br /> FUYTURE BSMT I 2 OTHEIZ FIXTURE BSMT 1 T 2r1D OTF�R <br /> T�'E FL FL TypE <br /> �- FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower --- -- <br /> Washer <br /> Kitchen Sink Water Heater <br /> Disposal <br /> Water Softener <br /> Dishwasher Wet Baz � <br /> - Sillcocks I <br /> Miscellaneous I <br /> � <br /> - i� _ ,E Y'�R'�IIT`LEEC��C[�Lti1L0��5} = - � <br /> ' - ��Bd�EDrCIi � .__���x$1C�I'L..�.I� 1=T; � " .. - <br /> --- �- -�� . <br /> -£- - _ � <br /> � i <br /> Yes,this section applies i <br /> The replacement of a Residential fixture or ap�liance that meets alI three of the following requirements; � <br /> 1. Does not require modification to electrical or gas service. i <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and ' <br /> 3. Is improved,installed or repiaced by the homeowner or licensed contractor. <br /> Skip neact section,if this ap�plies; Cost of Permit <br /> $ 15.00 <br /> State Surchazge � 50 <br /> . Mai1-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $�� <br /> ' � . I <br /> (Permit Fees Continued On Next Page) . <br /> 2 <br />