Laserfiche WebLink
l <br /> � �� � � ��� �PLUMBING FIXTURES B�INCr�INSTALLED '� � ��� � � <br /> FIXTURE BSMT 1 T 2N OTHER FIXTURE BSMT 1 2� OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener � <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> � � � PERMIT FEE CALCULATION(S) � <br /> BASED (�FF - 2002 STATE STA�'UE <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 electrica(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 $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ a0�00 <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />