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Rpr $0 2010 8: 47RM STEWRRT PLUMBING 7634z81733 p. 3 <br /> i <br /> I <br /> i <br /> � <br /> � <br /> � � <br /> - . . . � . .�. . .�_�:�E�� ...��� . t _� ... ���. . . , �'Y� �'��,...,..� � . <br /> �, <br /> FLX7'[JRE BSMT I 2 OTHER FIX'TUI�E BSMT 1 2 OTHER <br /> TYPE FL FL TYPE � FL FL <br /> i <br /> Waler Closet � � � FJoot Thains � ( <br /> i <br /> Lavetory Z Sewer E ectar <br /> Ba[htub � Lauuc$y Trsy . <br /> � <br /> s�W� � � 3 wa�� � 1 <br /> xitchen sink � water H ater � <br /> ��s� � Water ftener � <br /> D�W��,- 3 w�s� , <br /> Sillcocks � ��]] S � <br /> � �5�+`�� e�me ,�.s,,•.Jlv�i�(-•b��'�. <br /> v�� �� <br /> I ���;� <br /> � � <br /> � <br /> � <br /> � � <br /> ; . ��� ������ ����� <br /> �����-�Qo�'� ������.r� <br /> � Yes,this s�x;tion applies i <br /> The replacement of a$gsideatial fixtune!or anvlience that meets all three of the fotlowing requirements: <br /> l. s no require modificatiun to electricaI or gas �rvice. <br /> 2_ Has a t�of$SOO.00i or less;excludin�the t of the fixture or appliance: and <br /> 3. Is imp�oved, insKalled or replaced by the homeown or licensed contractar. <br /> S[tip next section, if this applies; Cost of P "t $ 15•00 <br /> Stste S�trc e S .50 <br /> Mail-In F (If Applicable) $ 2.00 <br /> Total Per�nit Bee s <br /> i <br /> ' I <br /> I <br /> � <br /> � <br /> � <br /> ; <br /> (Permtt Fees Coutinaed On Ne:t Page) I <br /> � <br /> 2 I <br /> i <br /> I <br />