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. . <br /> r <br /> �- PLUMBINCJ FI�TURES BEINU 1NSTALLF.D � <br /> FIX`I'URE BSMT 1 2' OTHER FI�TURE BSNIT 1 2 OTHER <br /> TYPE FL PL TYPE FL FL <br /> Waier Closet Floor Drains � <br /> Lavatory Sewer Ejector <br /> Bathhib Laundry Tray � <br /> Shower W asher � <br /> i�itchen Sink Water Heater <br /> Disposal Watei•Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes, this section applies <br /> The replacenient of a Residential fixture or ap�liance that�neets�11 three of the following requirements: <br /> 1. Does not require modification to elec�h�iaal or gas service. <br /> 2. Has a total cost of$500.00 or less; exciudin�the cost of the fixriire or appliance: and <br /> 3. Is improved,installed or replaced by the honleowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Pennit $ l 5.00 <br /> Staee Stucharge � .50 <br /> Mail-In Fee (If Applicable) $ 1.50 <br /> 'I'ot�l PerYnit�'ee � <br /> (1'ern�it Fces Continued On Nest Page) <br /> � <br />