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� � <br /> �;. <br /> ,� , . <br /> � �°m� �.�u� ,.� �I�UM�31NC� " �; <br /> �.. �,. _ �"I�'�� <br /> � <br /> -____ - ;; , _. � � <br /> . ��.. .. �« ���+,.�-;<� �w,. <br /> FIXTURE BSMT I 2 OTHER FIXTURE � � <br /> TYPE FL FL TYPE BSMT 1 2 OTHER <br /> FL FL <br /> Water Closet <br /> 1 1 � Floor Drains <br /> Lavatory <br /> � 1� / � Sewer Ejector <br /> Bathroom <br /> Laundry Tray <br /> Shower �. � Washer <br /> Kitchen Sink I Water Heater <br /> Disposal � <br /> Water Softener <br /> Dishwasher <br /> Wet Bar <br /> Silicocks Miscellaneous 1 <br /> 'v5�,er b<i; <br /> � ; �� � ��, <br /> ,,., . . <br /> �ry?t �;��` ,- � ,.� r� <br /> �.,. . .- <br /> � .: �f�� ,:;. ,,,k.. <br /> � <br /> � "'� � BASL;D C7I�F_2002_STATC S CATIIE � �< <br /> ---- � <br /> ❑ Yes,this section applies ' <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> l. 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 contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> �� ; � ` Total Permit Fee g <br /> � �'� :I, <br /> �, I <br /> � ��� �i <br /> , <br /> (Permit Fees Continued On Next Page) <br /> 2 <br /> � <br /> �������.� � <br /> ��: �,� <br />