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05/04f2611 13:66 6127829649 VICKNAIR PHOTOGRAPHV PAGE 02 <br /> � • <br /> ;� g ',���,�, , , <br /> FIXTUR�' �SMT l 2 OTHER FIXTURE BSMT 1 2 OT�TE�t <br /> 'CXpE FL FL TYPE FI. FL <br /> Water Cleaet �la►r Dreina <br /> Lavatory Scwcr Ejoctor <br /> Bathtub I..aundry Trey <br /> Sb,ower Wagher <br /> Kitchcn Sink 1 Water l�eater <br /> Disposal Watcr Softcncr <br /> Diab.was�uZ 1 Wet Bar <br /> Sillcocks Miacellat�eous <br /> ( �.EI•�s!4LC[J�.�r�[ s: I <br /> 4 .�;^ �1, S T' � Il';,# . a f�,, *, 4.J 'I'. . <br /> 1ti 3,�.R b ..' .,�w l.v <br /> � 1� ,� r:�t) N�::g ►7 P� <br /> ❑ XCd��1.1.6 SCCt1011 8��I1C8 <br /> The replacelrient of only oae�esidecttial fi.�cture or appliance ti�t pneets a11 three of the following <br /> requiuretnenta: <br /> 1. Daes nM requi�re modi�cal�o�co elec�trical or gas service. <br /> z. Has a tokal c4 I of 5500.00 or less;excluding the cost of lhe fiahue or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor_ <br /> Skip ne�tt sect�mni,if thxti applaca; Cost v�Pc�it S 1 S"ll0 <br /> Stato Su�rchargc $ S,Qf) <br /> Mail-la Fee(lf Applicable) $ 2.00 <br /> Towl Permft Fee S <br /> (Permit Feea Confinaed Qn Ne7�t�age) <br /> 2 <br />