Laserfiche WebLink
s <br /> � <br /> i <br /> PLUMBING FIXTLTR�ES BEING INSTALLED �� i <br /> FIXTURE BSMT l� 2' OTHER FIXTURE BSMT 1' 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 Softener <br /> Dishwasher / Wet Bar <br /> Sillcocks Miscellaneous � <br /> �c.R_ 4.;,,� <br /> � � PERMIT FEE CALCULATION(S) � � <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes, this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1. 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 plumbing contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee (If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />