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08/14/2012 21 :35 FAX � 7634775629 i f�003/007 <br /> � , •-. ' I � <br /> ` • I <br /> I <br /> I <br /> I <br /> ., p I <br /> ,rri! �il. <br /> �, M <br /> FTXTUR�' BSNI'C 1 2 OTl-�R F1XT[JRE BSMT 1 2 ° Tl R <br /> TYPE � FL FT. TYYE FL l�L <br /> Wa�r Clo�et � Floor Drains � <br /> Lavatory I �j Sewot F.jector <br /> l <br /> Laun Tray <br /> liathtub �' <br /> Shower � Washcr � �I <br /> I <br /> Kicchen I ink Water Hcal�er <br /> _ Dispos I � Watcr Softencr , <br /> Dishw I hcr r W�$� <br /> Sillco s Miscellancous <br /> � <br /> il <br /> � I <br /> 'I <br /> � ,. > , <br /> ,:;��;,„ x •� •� :� , <br /> 'C''1�.1,:,��' '1. ' l�� 1� N ( J N Ir <br /> .�!�K 'I <br /> �I Yes.this sect�on applics . <br /> I � <br /> 'Th rcple�cement of only one <br /> ' ential xt or 1' ce that meets all�hree of the following , <br /> uiroments: � . <br /> I <br /> 1. Doas require modification to ci�ctrica�or�s servicc• <br /> Z, �a��t of$500.00 or less;e u ' the oost of the fixture or appliance: , <br /> 3. Is itnproved,ins�slled or roplaced by tho homeowner or licensed plumbing con <br /> Skip next sa:lion,if this apPlies; Cost of Parmit S 1 00 <br /> Statc Surcharge s <br /> ail-In Fee f A licxble) $ <br /> M, (� PP <br /> '1'otal Permit N'ce <br /> $ <br /> jl I <br /> I <br /> I <br /> (Permit Feea Continaed On Nezt PAge) � , <br /> i <br /> III 2 , <br /> � <br /> � <br /> I � <br />