Laserfiche WebLink
. <br /> •. <br /> � � <br /> . `°�'.�:I�SB�'G F��CUIt�S��INCr�'1�T'1�L��i�. `_. � <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 /> Bathtub Laundry Tray � <br /> Shower , . Washer ` <br /> � <br /> Kitchen Sink ' � Water Heater <br /> Disposal , � Water Softener <br /> Dishwasher � � Wet Bar <br /> Sillcocks � Miscellaneous <br /> � ,§ ;� `� � � , � � <br /> � � �� � �� � <br /> " � � �:�;� �u , � _ �� ��,; �.v, ���. a ,,,�� �.���, .r� <br /> :�t� �,r ,� w� a€rt rvx z '�� ' y �1 -.^s$+ f Y Sr`�'" M ;tk <br /> yM..; '+` . i� �io`•� '' •bh,'i`-4.� rwa'7 h "�4�~ * 5 iir.., � �. <br /> ❑ Yes,this section applies ' � <br /> . <br /> The replacement of only one Residential fixture or a�pliance that meets all three of the following <br /> requirements: <br /> 1. Does not reyuire 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 plumbing contractor. <br /> Skip next section, if this applies; Cost of Permit $ I5.00 <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 />