Laserfiche WebLink
� <br /> ' ` ����. ��� � � �-� PLITMBING FIXTURES BElNG INSTA�;L,ED ��� <br /> �� <br /> �. <br /> FIXTURE BSMT l 2�'D OTHER FIXTURE BSMT 1 T 21D 07'HER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � � Floor Drains � <br /> Lavatory � � � Sewer Ejector <br /> Bathroom � 2 � Laundry Tray , ' <br /> Shower i � Washer <br /> �i�, � 1 <br /> Kitchen Sink � Water Heater � <br /> Disposal � Water Softener <br /> Dishwasher i � Wet Bar � <br /> Sillcocks � Miscellaneous <br /> PERMIT I;EE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ � <br /> (Permit�'ees Continued On Next Page) <br /> 2 <br />