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�« `�` <br /> ` PLUMBING FIXTURES BEING INSTALLED, � <br /> FIXTURE BSMT 1 2'�D OTHER FIXTURE BSMT is 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor D rains <br /> Lavatory <br /> Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal r oftener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> ��� PERMIT��FEE CALCUL�T'ION(S) <br /> BASED OFF-2002 STATE STATUE <br /> � Yes,this section aUplies <br /> /\ <br /> The replacement of only one Residential fia�ture or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or�as service. <br /> 2. Has a total cost of$�00.00 or less;excludinQ the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed plumbin�contractor. <br /> Sl:ip next section,ifthis applies; Cost ofPermit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-Tn Fea(If Applicable) $ 2.00 <br /> Total Permit Fee �� <br /> (Fermit Fees Co�iti��sed Q�n 1�'e�t���e) <br /> 2 <br />