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03/17/2015 TUE 12: 27 FAx 763 �73 8565 Sabre Heating 6 Air Cond �003/007 <br /> FIXTURE BSMI' ] 2 OTHLR P�X'�'1JR� BSMT 1 2 OTHER <br /> TXPE FL FL TYPE FL FL <br /> Water Closat � � � Floor Drains <br /> LavatOry y � � Sewar Ejector <br /> l <br /> $atlttub � Laundry Tray � <br /> Shower l F Washer r �. <br /> 1 � <br /> Kitchen Sink _( �Vater Heater <br /> ! <br /> Disposal A Water Saftener <br /> .� <br /> Dishwssher 1 W et Bar � <br /> l <br /> 5iilcocks � Miscallaneous <br /> ✓ " <br /> �� �� <br /> 0 Xes,this section applie3 <br /> Th�replacnment of only one xtesidential fixtur�or applianoc that meeta all thrae of the follouving <br /> requirements: <br /> �, pQes nq�require mvdit'ication to electrical or gas service. <br /> 2. �Tas a fQtal cost.of�500.00 or less; exC�udlrict the eost of the�ixture or applianca�and <br /> 3. Is impro�ved,installed or replaced by the hameowner or liccnsed plumbing contractor. <br /> Skip next section,if this applies; Cost of Permit ��S,_00 <br /> State Suroharge $ s.ao <br /> Mr�il-In Fee(If Applicable} $ _2,D9 <br /> Totul Pe�•mit l�ee � <br /> (Permil Fecs Contlnucd O�� �Neat�age) <br /> 2 <br />