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Dec 21 12,01:05p Stewart Plumbing Inc. 763-428-1733 p.3 <br /> � �i <br /> ! <br /> PLUMB[NG FIXTLIRES BE[NG INSTACLED <br /> FIXTURE BSMT I 2 OTF[ER FIXTURE B�MT 1 2 �TE�ER <br /> TYPE FL FL TYPE i FL FL <br /> Water Closet F[oor Drains i � <br /> L'lC•� <br /> Lavatory � Sewer Ejector � � <br /> � <br /> Bathtub � Laundry Tray I <br /> � <br /> Shower 2 W asher <br /> J I <br /> Kitchen Sink Water Heater <br /> � ��� <br /> Disposal � Water Sofr�er <br /> Dishwasher �1 Wet Bar <br /> �� <br /> Sillcocks Miscellaneous � ��,,L��',� <br /> u <br /> I i <br /> � <br /> I <br /> PERM�T FEE CALCULATION{5) <br /> BASED OFF -2002 STATE STATUE <br /> ❑ Yes,chis section applies <br /> The reptacement of only one Residential fixture or appliar�ce that meets all three afthe following <br /> requ i rements: <br /> l. Does not require modification to electricaf or gas servioe. <br /> 2. Has a tota.l cost of$�00_00 or less;excludine the cost of the fixture or appliance:and <br /> 3. Is impraved, installed or repEaced by the homeowner or licensed plumbing contractor. <br /> Skip next section, ifthis applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-ln Fee{If Applicable) $ 2_00 <br /> Tatal Permit�ee S <br /> � <br /> i <br /> {Permit Fees Coptinaed On Vext Page) <br /> 2 <br />