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� <br /> , <br /> � . , . � w ..z <br /> . , <br /> � , , . .�,� �. <br /> , <br /> , <br /> � �, �� .� � �� �w � �. , <br /> �� � ..,.rt- � ��. . .�. � .�. ..,...,� . � <br /> ..,�=;��T x, �r �.A�����r, ���� <br /> FIXTURE BSMT 1 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 /> � �\, <br /> T <br /> �-�%! ���C� <br /> � � ��� <br /> , ,: PERMIT FEE CALCULATION(S) ° P �` t �� <br /> BASED OFF - 2002 STATE STATUE ' <br /> [� 1'es, this section applies <br /> l � <br /> The replacement of a Residential fixture or ap liance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost 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 applies; Cost of Percnit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $�� L'%� <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />