Laserfiche WebLink
' <br /> PL . <br /> ` :`��:���+�+�;. �.LLED <br /> FIXTURE BSMT ls� 2ND OTHER FIXTURE BSMT 1sT ��D OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet ,� Floor Drains <br /> Lavatory ,� Sewer Ejector <br /> Bathtub ,� Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar 1 <br /> Sillcocks Miscellaneous <br /> � PERMIT �EE C'AL�'ULAr('IC3N{S) <br /> BASED UFF - 200� S�FATE S�PATU� <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />