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Mar. 6. 2008 2;41PM Norblom Plumbing No, 5031 P. 2 <br /> � � �����:P�.U'MBIN�C�r.;FIXTU,RES;N$.�IN�,TN'STALLED�.��" �'��`'" :;;:':��'�`,';';'� <br /> ::,�.. ,;;;; ��� <br /> PIXTURE BSMT 1 2 OTHER F.iXTUAE BSMT 1 2 OTHER <br /> TY"PB �T, ��, T'YPB 1�T. T��. <br /> Water Closet Floor Drains <br /> Lavatory Scwrcr Ejector <br /> l3atUroom Laundry'IYay <br /> Sl�ower 'Washer <br /> KitchenSink WAterHoattr 1( <br /> /� <br /> bisposel Water Softener <br /> Dishwasher Wet�sr <br /> Sillcocks Miscellaneous <br /> � •. <br /> •.�..ri�.. <br /> :�;+.; <br /> � ' <br /> s <br /> •.yrt.� . . D��.i' 'y�,���y .. ` . �I. <br /> . �,��R?:;:'• r .�:r: , , ��1v�1+a,.�,,,�, ?11+�/ �...� � �J�,'"' � ;'•. <br /> /jt�� �. „ •', . � ,a ��r':! <br /> ?1�.'„�, Fn l. ,%:.:1� i. • h!���ir� 4 • �' <br /> �:' .2'r• r a:� �Vlrna7'1,� <br /> ❑ 'Y'es,this section applies <br /> . ,.. <br /> Tl�e replacement of�Tiesidential fixture or analiance that meets all three of the following requirements: <br /> 1, Does not require modification to olcctrical or gas setv'ica. <br /> 2. Y�as a total cost of$50�.40 or less;excludin�the cost of the fixtuure or appliance:end <br /> 3. Ys impro�ved,installed ar replaced by the homeowner or licensed contractor. <br /> Skip next section,if this npplies; Cost of Pe�mit � 15.00 <br /> State Surcharge $ .SO <br /> Msil-In F�e(If Applicable) $ 1.50 <br /> Total permlt�ec $ <br /> (permit Fees ConNnued On Next Pagc) <br /> 2 <br />