Laserfiche WebLink
� <br /> T <br /> � S <br /> � <br /> ���. ., ��' .' : ���,.. -.. ` '"��.'�3ING FIXTURES BEIl�1G�:iNSTALLED�� � �� ���' <br /> FIXTURE BSMT 1 2 OTHER FIhTURE BSMT 1 2' 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 /> ICitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> � cs rn.v�-z,c.._+- /U -�� (�-c�,� i �-i'c�� �} � `/ �� S�_�.�, �.I� �-!U <br /> �j�- -E -� � T l� �-� �� _ <br /> � � ^ PERMIT FEE CALCULATION(S) j <br /> ; �., <br /> � BASED OFF - 2002 STATE STATUE I <br /> ❑ Yes, this section applies <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; excludinQ 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 $ 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 />