2/02/12 12 : 53PM CST Spring Plumbing LLC -> Building Dept 9522494616 Pg '
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<br /> FIXTURE BSMT 1 2' OTHER FIXTURE BSMT 1 2 OTHER
<br /> TYPE FL FL TYPE k'L FL
<br /> Water Closot � J, � Floor Drain� � (J
<br /> �, -r
<br /> ��8�ry , a � S��E;�t� .
<br /> , Bethn,b a r..au�,a,y-rr�y 1
<br /> st,ow� a wasr►e�
<br /> I Kirochen Sink � WAtet Heater f
<br /> !
<br /> ! Disposal / Wsta Sotte�aer
<br /> I Dishwa5her W��r
<br /> / ,
<br /> Sill�cocks �J Mi9cellaneous
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<br /> 1 ? �i i F j9l '�,r � ,Qbh. , : � 3 r"�,�r 1 �.
<br /> �t'��4 c � ,� a rd.'f "p�^' 6��+1r1� ��� ��ib, �.ix y' �� , � s�. 6���
<br /> r t�e: �5�� �'J�.,'il��� �f�'� `�!n �If� �'�_ ,,� o- i 'a, .;,.ti. 1 � ��'. � �1 �1`(l,�g`rP S� �'.al t,.��
<br /> �,� „, u e� i r�k �"4 J�i ��,,, �,�y. i'�,�, y � f s ,� �..a::7' �FK,„
<br /> ,� �r 1 ,�:� ] +h �p.P ��a W��o .l'� n v, :
<br /> [] Yea,thi�section a�rplics
<br /> The repl,aeennan,t of only one B�sidez�tial�,�ctiue or aovliane�a that mcots all shree of the Following
<br /> requiremema;
<br /> 1, Iaoes not requira modif�cation to cloctriml or gas aervicm.
<br /> Z, Has a ta�l cost of 5500.00 or less; in the oost of the fixture or applisace:and
<br /> 3. Ia improvod,instEtUod or raplaoed by the homeowner or licen�ed plumbing contaotor.
<br /> SWp next sactior►,if thia applies; Cost of Permit S 15 00
<br /> State Surcharge S 5 00
<br /> Mail-in Fee(IF A.ppJ.icable) Sr 2.00
<br /> ' Total Pe�nait Fee S
<br /> (Permit Fees Coutbaued On Nert Page)
<br /> 2
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