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� <br /> � <br /> t <br /> � <br /> ��, <br /> � . <br /> � - . <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floor Drains / <br /> / <br /> Lavatory � � � Sewer Ejector <br /> Bathtub � ' � Laundry Tray I <br /> Shower l ' Washer <br /> Kitchen Sink I Water Heater � <br /> Disposal Water Softener <br /> Dishwasher I Wet Bar <br /> Sillcocks Miscellaneous <br /> ❑ Yes,this section applies � , <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine 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 appiies; 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 />