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PLUMBING FIXTURES BE1NG INSTALLED <br /> FIXTliRE BSMT 1'T 2" OTHER i FIXTURE BSMT 1� 2u OTHER <br /> TYPE FL FL � TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower � Washer <br /> I � <br /> Kitchen Sink Water Heater � � <br /> � �-- <br /> Disposal Water Softener <br /> Dishwasher Wet 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 fixture 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 total cost of$500.00 or less;excluding the cost of the tixture or appliance: and <br /> �. Is improved, ir.stal}ed or replaced by the hc�meowner er l:censed contra�tor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> • State Surcharge $ .�0 <br /> Mail-In Fee(If Applicable) � 1.50 <br /> Total Permit Fee $ /7.DO <br /> (Permit Fees Continued On Vext Page) <br /> � <br /> � <br />