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h`ab, 21, 2014 8,49AM No, 6002 P, 7 <br /> , <br /> .. �"� ..,, .� J� <br /> ¢�. � i�`. . ��j '�?'.��' . f'` � �_ ,� ��l'...__��` ` ��.�:'�,... � � �� �'�,�+R ,�iG�'�.a��. ����5.'�f'�o <br /> FI�{TUfZP, BSMT 1' 2" OTH�R rT�TT� T3SM7' 1 2 0'I'T-l�R <br /> T'Y�'� �'L P�, TYPE FL FL <br /> \Vater CloseC � Floor Drains <br /> Lavatory �1 Se�ver�jecto�� <br /> i <br /> Bathtub �f L2undry Tray <br /> y" <br /> Shower Washer i/ <br /> y <br /> Kitchen Sink i/ Wnter Henter � <br /> .y� 1 <br /> Disposal �� 'WAter Softener <br /> ]7ishw�sher Wct Bar <br /> Sillcocks � Miscellaneous <br /> � <br /> � 4 3 .�{tS�' ..;�4`��� ]1��'��'y'�L���1����?,.'��i�.,�L���rL11JAF.1.�1\-l1�1�1J/ ':. Lk.' � .� . <br /> )��y f � <br /> .� � ,C i�t�� ,�,1 l�.l� V�':���BA�.�.���' Q��' ��Q�Z�STI��'�'�`�ATLTE . ,s -�- <br /> ❑ Yes,this section�pplies <br /> The replacement of o�zly o�ie ResidentiAI fixture or��liance th�t meets a[I three oftlie follorving <br /> rec�uireineuts: <br /> 1. oes not rec�uire modification to electrica[or gas service. <br /> 2. �T�s a tot�l cost of$SOO.UU or less;excludina tl�e cost of the Cxtitre or appliancc:and <br /> 3. Is improvcd,inslallcc]or rcplaced by klic l�omeowner�r licensecl pIumbing contractor. <br /> Skrp ne�t section,if tl�is Applies; Cost of penxit $ 15.00 <br /> St�te Surch�rgc $, S.pO <br /> �fail-In Fee(ifApplicnble) � 2.00 <br /> Total pei�rnii�ee � <br /> (Permlt rces Conti►iuccl On Nexf page) <br /> _ _ . <br /> 2 <br />