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PLUMBING FIXTURES BEING INSTALLED <br /> FIXTIJRE RSM'I' 1` ?� <�]�HF,R FIX1�iJIZH; RSM[' 1 2' (�rtlF'.R <br /> �fYY1; I�L l�l. "ll'YE 1'L 1�L <br /> W�iter Closet Floor T>rains <br /> Lavator� Se��cr Ejector <br /> t3athtub Laundry"fray� <br /> Sho�e�er Washer <br /> Kilchen Sii� Water I leater <br /> llisposal Water Soltencr <br /> T�ish��•asher Wet Rar <br /> Sillcocks Misccllancous <br /> , <br /> / 'GZsL/,LC.� 'C-C�'Yy� �%�G�-�.'� � .vL-L GZ�'c� C� L%�-l-�fl���.,L <br /> �..� � � � �� . . " � � GZ!�-� - <br /> �-et.� ck ,��� -C' C����L-r.� � � <br /> V r <br /> � , <br /> �5�. ��.33 - 77/7 <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> � Yes,this section applies <br /> Tl�e replacement c�f a Residential f�ixture or a��piance that meets all three of the Yollo��ring requirements: <br /> 1. Does not require modification to electrical or gas ser�ice. <br /> 2. Has a total eost of$�Oi).00 or less;e�clu�lina the cost of the t'ixture or appliance:and <br /> 3. Is improved,inst�111ed or replaced b�the homeoNner or licensed contractc�r. <br /> Skip next secti<m,if this applies; Cost of Perniit $ 15.00 <br /> State Surcharge $ �0 <br /> Mail-1nPee(Il Applicablej $ 2.00 <br /> Total Permit Fce � <br /> (Permit Fees Continued On Nest Pagc) <br /> 2 <br />