Laserfiche WebLink
^b <br /> r <br /> PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � � Floor Drains � _ � <br /> Lavatory y 3 __ Sewer Ejector _ _ _ <br /> 1 <br /> Bathtub � � ._ Laundry Tray � i r <br /> Shower � � � Washer J � .- <br /> Kitchen Sink .� � ,_ Water Heater � _ � <br /> Disposal ' � ,_ Water Softener � � � <br /> Dishwasher r � _ Wet Bar � ^ — <br /> Sillcocks L _ � Miscellaneous <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and <br /> 3. Is improved, installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 1.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />