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, � <br /> PL,CIIVIBINfa.FI�T�`JR�ESy:BEING I�I�T'�`,.�.T'A;�.�ED�'��- ,�::_.�;,.utiF�;.�#� .?`�: '_;: <br /> FIXTURE BSMT 1 2 OTHER FIX"TURE BSMT 1 T 2` OTF�R <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater '� <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> .. �� .. �'�;�p t ��#��a����"I��crc ���L�i.,_. r;.� r �11J1.V\`�'{ �� .,.� <br /> i ks-��" ra r* ,� F.i li 3�`8 d�l 1 s � � ._ . � �� � � <br /> �w��� � . .. � : -' �. <br /> . , " <br /> .�.,-��. . <br /> �� ��T��C�`F.., �0�2��T�A:Z�,S'��.'��JE � f , �. , :. <br /> s secrion applies ;� � <br /> ` �� <br /> e replacement of a Residential fiactiire or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a tota(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 contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surchazge $ .50 <br /> �ta�l-In Fee(If App:icable) $�,1,5�._ <br /> '1'otal Permit Fee $ i �. l,h� <br /> (Permit Fees Continued On Next Page) � <br /> 2 <br />