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03/27/2�12 12:00 FAX 9529335049 CULLIGAN MNTKA C�006
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<br /> FIXTURE BSMT 1 2 OTHER FTXTURE BSMT I 2 OTHER
<br /> TYPE FL FL TYPE FL FL
<br /> Water Closet Floor Drains
<br /> Lavatory Sewer Ejector
<br /> Bathtub Laundry Tray
<br /> Shower Washer
<br /> Kitchen Sink Water Heater
<br /> Disposal Water Softenor I
<br /> Dishwasher Wet Bar
<br /> Sillcocks Miscellaneous
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<br /> Yes,this section applies
<br /> The replacement of a Residential fiacture or a I�n iance that meets all three of the following requirements:
<br /> 1. Does not require modification to elecErical or gas service.
<br /> 2. Has a ota os of$500.00 or less;excludine 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 applics; Cost of Permit $ 15.�0
<br /> State Surcharge $ 5.00
<br /> Mail-In Fee(If Applicable) $ 2.00
<br /> Total Permit Fee S
<br /> . (Permit Fees Continued On Next Page) �
<br /> 2
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