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/ <br /> PLUMB[NU FIX'I�URES B}'ING 1NSTAI.L,}��[� <br /> FIXTURE BSM�I' l� 2" O'CH�R FIX'I'URE QSM'I� 1� 2� ' O'1'HER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � � Floor Drains <br /> Lavatory �,�,�t�� � Sewer Ejector <br /> �, c`� <br /> Bathroom � Laundry Tray � �N t E ��� <br /> Shower � Washer _I �Nq,y ;c. ��; <br /> Kitchen Sink ��er+ �- Water Heater <br /> L� <br /> Uisposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks A4iscel�►eetts 1 <br /> �az�-1�s�3 <br /> PERMIT FEE CALCULATION(S) <br /> I3ASFD 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 electncal or gas service. <br /> 2. Has a total cost of$500.00 or less;excludina the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee � <br /> (Permit Fees Continued On Next Nage) <br /> 2 <br />