Laserfiche WebLink
O1/31/2014 FRI 12: 52 FAX 763 473 8565 Sabre Plumbing & Heating �003/007 <br /> FIXTIJRE BSMT 1' 2 OTHER �'IXTURE IISM'I' ] 2 V O"I'HER <br /> TYPE FL I�L TYPr FI., FL <br /> Water Closet i Z � Ploor Drains i <br /> Lavatory { � .� Sewer Ejector <br /> Bathttib ' ` L.aundry Tray � <br /> Shower � � Wasl�er ` <br /> L <br /> Kitchen Sink I Water Heater � <br /> Disposal � Water Softener <br /> Dishwasher � Wet Bar ' <br /> Sillcocks Z Miscellaneous <br /> ❑ Yes, this section applies <br /> The replacernent of only one Residential fixture or appliance that meets alf three of the following <br /> requirement�: <br /> 1. Does not require n�odification to elecirica[or gas service. <br /> 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and <br /> 3. Is improved,instalted or replaced by the l�omeowner or licensed plumbin�contractor. <br /> Skip�text section,if this applies; Cost of Permit � 15.00 <br /> State Surcharge $ 5.00 <br /> Mait-In Fee(If Applicable) � 2.00 <br /> T'ota!Permit Fee $ <br /> I <br /> (Perroit Fees Continued On Next Page) <br /> 2 <br /> i <br />