Laserfiche WebLink
02128/2012 19:47 FAx 76347�3629 � I�005/009 <br /> . �1�7� k�� ��lZ . <br /> FixTu �s�' � 2 0� F1xTur.� ss�rr i a <br /> TYPE I FL FL TYPE FL FL <br /> Watcr Ctosec � Floor Drains <br /> Lavatory � Sewer Bjector <br /> Dathtub ' I Laundry Ttay <br /> Shower / W asher ( <br /> Kitchen Sink WatcrH�ater <br /> , ,._ ". Dispo§al' "'� �t�i'i`` '�� Wetec SoRenor � <br /> DishWesh¢r e � � Wct Bar <br /> .,:��� , �r. ��,��_. <br /> � 5illcocks ; Miscellaneous <br /> _ ._ _ <br /> •`� ;�;,, <br /> ,', , �4,,; :•, <br /> x ', •,��,:�titi.��,� N+��:',;.';w�;:• <br /> �il$ � i, r'vnl�y�•••a,c rfl�;:�i�i �r".eL:b•!:t'r::�. <br /> Q . v�s,this ga�ion�Ppu�$ . . <br /> � Y ,� � � lowit�g <br /> 'L1t�,teplaCement of ed one Residential fixture or aon ian that meets all tlu'ee of the foi <br /> requiromer�ts: , <br /> . . _.,.... ._ <br /> � 1:` ot require modification to electrica!or gas se'rvice. ' <br /> � � a. Ha��ti tal eost of SS00.00 or less;excludine the cost of the fixture or appliance:an - <br /> " � 3. ls.improved,installed vr�replaced by the homeowner or licenscd plumbin�contraew . <br /> _. . .�. . . .... , ._; . _, <br /> ;s� � , ��. � <br /> , Skip next section,if this epplies; Cost of Pernlit <br /> .._ . . . Stsie Surchargc S .. <br /> . _ , , '! . Mail-In Fee(lf Applicable) S � <br /> . t_... _. ___ ._-- Total Permlt Fee .,..�5 <br /> (Permit Fces Continucd Oa Nent PAgc) <br /> Z <br /> .. � . .n ��� �i�.. , � <br /> c:� � ., ,. tl <br />