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. � <br /> ,. ,,,,, <br /> ., .. <br /> ; �'LUM.BfiI'Cr EIXTYJRES B...EINCr,IIVSTAL�.ED,;. � <br /> FIXTURE BSMT � 2 OTHE12 FIXTURE BSMT 1 Z OTHER <br /> TYP� FL .FL xY�'E k'I� FL <br /> Water Ctoset Floor prains <br /> Lavatory Sewer Ejector <br /> �3atk�tub Laundry Tray <br /> Shower Washer <br /> ICitchen Sink Water Heater ,� <br /> Disposal Wxter Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> 1 I <br /> a �;pER1V1IT��EE�AY,CLTLATXO�?�t(Sy ��;, - <br /> , B�SEL?,O�F,': 2QU�,STI�TE S�'�ATUE;-� , -�-, � <br /> ❑ Yes,tk�is section applies <br /> The replacement of a Residential fixtu�e Qr appliance that meets all rhree o;Fthe following requirements: <br /> 1. oes not require modi�cation to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�tk�e cost of the fixture or appliane�:and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip�►ext section, if this applies; Cost o;f Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) � 2_00 <br /> Total Permpt Fee $ <br /> (Perra�t Fees Co�ntinued O�n Next�age) <br /> 2 <br />