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� � <br /> PLUMBING FIXTURES BEING INSTALLED <br /> f=1XTURE BSMT I� 2� OTHER FIXTURE BSMT 1 2� OTHER <br /> TYPE FL FL TY'PE FL FL <br /> Water Closet � Floor Drains <br /> Lavatory Sewer Ejector <br /> [3athtub Laundry Tray <br /> � <br /> Shower w'asher <br /> I�itchen Sink W�ater Heater <br /> Disposal Water Softener <br /> Dishwasher Vdet Bar <br /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> � Yes.this section applies <br /> The replacement of a Residential tixture 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 excludinc�the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Ship nest section, if this applies; Cost of Permit $ I5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $�� <br /> (Permit Fees Continued On tiext Page) <br /> � <br />