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From:Genz-Ryan 952 767 1900 08/28/2013 09:58 #562 P.0021003 <br /> � - <br /> � <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHElt <br /> TYPE FL FL TYPE FL FL <br /> Water Ctoset Floor Drains <br /> Lavatory Sewer ector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sil lcocks Miscel]aneous <br /> Yes,this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the foilowing <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;gxcluding the cost of the fixture or appliance:and <br /> 3. Ts improved,installed or reptaced by tlie homeowner or licensed plumbing 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 $_�,_pC� <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />