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Oct 02 15 09:47a Stewart Plumbing Inc. 763-428-1733 p.3 <br />� . <br /> PLUMBL�TG FIXTURES BEING INSTALLED <br /> FiXTURE BSMT 1 2N OTHER FIXTURE BSMT 1 2 OTHER <br /> '�'yp� FL �L TYPE FL FL <br /> Water Closet a a r� Fivor Drains I � <br /> C75 <br /> Lavatory � i � ;' � Sewer Ejectar <br /> Eathfizb � � : l Laundry 7ray f <br /> i <br /> Shower � � ( Washer i <br /> i <br /> Kitchen Sir�t: I Water Heater I <br /> � <br /> Disposal + Water Softener ' <br /> Dishwasher 4 �'e1 B� � <br /> I <br /> Sillcocks ! _ Misceflaneous � � <br /> Ly <br /> PERMIT FEE GALCULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this secrion applies <br /> The replacement of only one Residential fixture or apgLi_ance that meets all three of the fviinwinD <br /> requirements: <br /> I. Does not require modification to elecdical or gas service. <br /> 2. Has a totai cost of 5500.00 or Eess;eaccludin�the cost of the fixture or appliance:and <br /> 3. Ls improved,installed�r replaced by the homeowner or licensed pCurnbing contractor. <br /> Skip next section,ifthis applics; Cost af Perrnit $ 15• <br /> State Surcharge $ 1.a0 <br /> Mail-In Fee{If Applicable) $ 2_00 <br /> Tntal Pormit FeP $ <br />