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Nov � 3 � 2006 11 � 19AM NORBLOM PLUMBING No � 1901 P • 2 <br /> FTXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL . FL TYPE FL FL <br /> Wster Closet Floor Drains <br /> Lavatory Scwer Ejector <br /> Bathroom Laundry Tray <br /> 5hower Waeher <br /> Kitehen Sink Water Heator � <br /> D�sposal Water Softoner <br /> Dishwasher Wet Bar <br /> Sillcocks Miseellaneous <br /> � '• � I��I h�l�I I II1�� l{� r � � � � I r!i I n I`I� I ���y��l Ih 2 ����G� � '� S� <br /> ���}, � � t�lI�j� ��J�I ��li��������I�� ��' �i . �. � . ,� �S� �hV 17��������������i�li � ��,� , .� <br /> ti($}"�'9'�'�I��J�11�� �'���� 3 i �- � �'�� '� �� ,� �I� �� �'� ,�f gr��l � �' �I�r <br /> �;� ,I��"r���`'��i��F�,�.11�"� '� i hl �� 'Y a�� 4.. ' F .1Hi�!fll�' �� ��' �,c �o �f� �`3���fllll! <br /> [{.�] Yes,this section applies <br /> The replacement of a Residential fixture ar�ppl�noe that meet9 ail[hrto of the following requirements: <br /> 1. �g�requ�re modificatJon to olectrical or gas sarvice, <br /> 2. Has a total coet of$500.00 or less;excludina the cost of the flxture or appliance;and <br /> 3, Is improved.installed or repleced by the homeowner or licensed contractor. <br /> Skip next scction,ifthls applies; Cost o�Pernnit $ 15.00 <br /> State Surchazgc $ , .SO <br /> Mail-In Fee(If Applicabla) $ 1,50 <br /> Total permlt Fee $ 1�•00 <br /> (Permlt Fees Contlnued O�Next Page) <br /> 2 <br />