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� ��> ,_ �:-� - <br /> ;�:.: `�:.i�'"" ��' ����� � �'�. <br /> fi1XTURE $SMT Z 2 pT�-TER FT�;'�'URE $$M'I' 1 2 OTHER <br /> TYPE FL F�, 7YPE FL FL <br /> Water Closet Fiopr Drains <br /> Lavatory Sewac Ejactor <br /> Barhtub Launc�ry Tray <br /> Shower Washer <br /> Kitchen Sink Wafer I�eater � <br /> Disposal Water So#�er�er <br /> Dishwash�,r W�g� <br /> Sillcacks Miscellaneous <br /> � �,r. � �4 Y � ''f' ty� �r `�r %! .`.'� ��'.�r C M.=.2'w. :. '-k�.1 ,. . <br /> � y,� � .U{T j�3 <br /> f'rT"F�K�� � � k+'������-6 r. ��� � v}�(� t: r']t ISs.. r I 'J..a'l�, `� , r ��' . <br /> _ '��{`h±'�.MYCC���G?�?]���� � . rF <br /> > ?+.-c«6-�NS.it:...'"W..'t6t�_ r N:H.;�-i 4"" r � �i .�+v .+'l,�-"rc <br /> �'.-ah' �r.. ��?kw.. 'N <br /> d Yes,this section applios <br /> The replacement of o�a�y one Resider�al fia-ture or appliance t1,at mcets all t,hree of the following <br /> re�uiremen�s: <br /> 1. Does not require modi�icatian to elechical or gas service. <br /> 2. Has a tota3 cost of$�Op.00 or less;exclud'n the cost of the�i�ture ar applisnce:and <br /> 3. Is impraved,iinstalled o�r replaced by the homeov�er or Iic�nsed plumbing co�ntractor. <br /> Skip neart seciion,if this applies; Cost of Perr�zit $�� <br /> State Surcharge $ S•00 <br /> Mai1-In Fee(I;FApplicable) $ 2"QO <br /> Tata1 Permit Fee $ <br /> (Perm�t Fees Coutiuued Q�,Next Page) <br /> 2 <br />