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PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT Isr ���D OTHER FIXTliRE BSMT ls 2�D 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 /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE j <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: <br /> I. Does not require modification to electrical or gas service. <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 replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .�0 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee � 17.00 <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />