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06/19/2012 22:59 FAx 7634775629 f�002/003 <br /> . 3 <br /> . ` <br /> r <br /> . S <br /> .l <br /> .� <br /> S <br /> � <br /> •.. ..�... .. � .:. . • <br /> ...... n . . <br /> ' I I. ..'�vlr.r�.nJi�. Ma�ni <br /> . . .�..,��N,vE��� :.,� . % <br /> ,;',".::'r.:vt�...•....:,.. � ' �.T;n.... .., . ; <br /> ...��:.n 1 W. ' ...: � . . <br /> ' � . ' ;�..:..u......, „ .. <br /> �. .,,,.,,..,:�:' •.'s.... ' • ' � <br /> .:�.... . , <br /> s <br /> F TURE BSMT 1 2 OTHER F1X7URE BSMT l OTFIER : <br /> T PE FL FL TYPE PL LI •� <br /> .� <br /> ter Clpszt 1�loor Drains � <br /> s <br /> L atory � Sewer�jector :; <br /> Ba htub Laundry TYay ,j <br /> � <br /> Sh wer / W�� '� <br /> Ki �en Sink r Water Hcater 4 <br /> .� <br /> � <br /> Di osal Water Softener { <br /> ' ., . . ,. , � _� _ ,.._ . . . . � <br /> Dis washer ( W�Baz I :r <br /> Sill ocks Miscellaneous .� <br /> YF <br /> }f <br /> I <br /> .� <br /> I .4 <br /> III 4 <br /> � <br /> � <br /> � . •�.T ' :�.��.�.�J�...�\ .� <br /> . . .�w�..�•i���' �n`�.�'/�J'ft ' <br /> . I . ':.'��"'•�I�•..�''.::'.�:i�.:'n'� `!9L�Ny.M�:':7:`:�y'�I� ' . . . <br /> i .1. ...6.•n '.:.� ri�5 i� ''. . <br /> :r•�' :::i�' .;f� G;P?R;.:,•i�i.. ': <br /> �.�XiiSj.�lw' �'S. ai .:4riy�,. <br /> ':� <br /> ❑ II Ycs,this section applies ` <br /> ,� <br /> � �a <br /> 1'he replacement of only one R,esidential fi�cture or aonliance that meets�Il three of the follo ing .� <br /> requ��ements: -r <br /> � <br /> 1. ces ot require modification to electricai or gas senrice. .� <br /> 2. I•Les a to s of$500.00 or lcss;cxcludine the cost of the fixture or applianc :and � <br /> 3, ls improved,installed or replaced by the homeowner or licensed plumbing cont ctor. � <br /> � <br /> Skip next section,if this applies; Cost of Pcrmit S 15. � <br /> Stete Surcharge $ 5 :� <br /> Mail-In Fee(If Applicable) $ 2. 0 ;� <br /> Tpt91 Perm![Fce $ �; <br /> � <br /> .r <br /> � f <br /> SM <br /> .� <br /> I �i <br /> 1 <br /> (Perm�t Fees Continued Oa Neut Page) ; <br /> .j <br /> I� :3 <br /> .G <br /> � <br /> .� <br /> 2 :� <br /> # <br /> i <br /> II �I <br /> .� <br />