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Oct 04 05 10: z2a Dauwalter Plumbing 9524483509 p. 3 <br /> FI){TURE gSMT 1 2 Q'[i�A FDc7URE BSMT 1 2' OTF�R <br /> TYPE �L FL TYPE FL FC, <br /> Water Gosct , Floar Dreins <br /> T.svacary a� Sewec Fjector <br /> Bathroom Lnundry Tray �h <br /> 1� <br /> Shower i Washer r ' � <br /> 1 <br /> Kitchcn Sink � WaterHeatcr <br /> Disposal Water Softener <br /> bishwasher W�B� <br /> Siltcocks 1�isce��ffi►oo� � <br /> ,.� <br /> ❑ Yes,tfds section appiies <br /> 'It,e replaoemes�t of a RP,cidendal fixture or a�lience thac meEts eil three of the follewing requirecne�ts. <br /> L. Daes noi require modifleation m etecaica!o�gas sen�ce, <br /> 2. Eias a total cacc,of$500,00 or less;�y�1p�che cost of the fixnuc or appliance:a,Ld <br /> 3. Is impro�ed,iruhalled or replaced by the homeowner ar licetued contracdar. <br /> Skip n��a seetion,ifthis applies; Cost af Permiz $ I5.00 <br /> Sta�Suceharge S .SO <br /> Maii-In Fee(If Applicable) � 1.50 <br /> Tata!Pennit Fa S <br /> (permit Fees Couniaued Oo Nc;t Psee) <br /> Z <br /> �/Z 'd 9L0� '°N �a�ua� eu�p � inq E�SEy�_ wd�i �z Sooi �ci 'daS _ ___ <br />