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�����c �„ �' ,��, ����� l 'c a �..-�� <br /> : <br /> , : <br /> -_' . �• . �r <br /> ,d .. : <br /> , . .�:��. .., ;. . , ,., .. _. .e _ ��s a��.��, , ,.�•��,..,,- <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> I f�('� <br /> � PERMIT FEE CALGULATICIN(S) <br /> � BASED OFF-2002 STATE 5TAT"C,TE ;';` . �`- ��� �� � ��� <br /> �f Yes,this section applies <br /> / <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;excludins 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 $ I5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ � 7,�v <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />