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11/07/2012 03:23 FAX 7634773629 f�003/004 <br /> ' � ' . <br /> , I <br /> � I <br /> `-F;'.N;„I'�"1 ' ��y!i i <br /> �';;,��,:•"`�r.'a:,:�,t;�•'M�i�ht' �' , <br /> ' OT1�ER FiX'fURE BSMT 1 2 ' ; THER <br /> F[XTURF fiSM'l' l Z T�� �, I�L � <br /> TYP�I FL FL _ <br /> Wa�,erJCloset � Fluor Dcains <br /> � <br /> Sewcr Ejcetor ; <br /> I.avs ry ; <br /> Laun�y'�Y i <br /> Batht�b ( '. <br /> Washar <br /> ShovWer ` <br /> W atcr Hcater � <br /> Kitc;Nen Sink r ` <br /> . : :,.. ,..„_ , _.. . ;-- - W aler Softenzr <br /> pispbsal _ — <br /> �—� <br /> Wec Sar <br /> Uisl�washer <br /> Miscellaneous <br /> Sillcocks <br /> „.' <br /> :�'��,'k�' • ' '' r� �, <br /> ' 'i;::"'.�s'•:'1,�;:;;�i7! t� .� ,,� �„� <br /> , .,�.t.,=�,k: �l �••� �.. „ � � , ,�y.,. � . <br /> :;,� •�.r:t.,V:��j'i�,!1;PRi'�„dh!::,ti �� � <br /> i i.,k;+�,�;i „l:;v., y�i'''`�i�3N:jj!•', ,'• <br /> ,;:j•;;••. <br /> Yes,this section applics <br /> '1 c rep����nent of oaly one eside tial fixture r �' tha�mects a11 three af the followin� <br /> rcquircmants: <br /> l. Does not re9uire modification to electrical or ges servicc. <br /> tal co <br /> . of SS00.00 or l�ss;Exc udin the cost of che tixturc or applianc�: ,d <br /> 2. I�35 A U . <br /> �� ed lumbi cont t c <br /> ' ' 3. (s impmvcd.installed or ceplaced by the homeowner on c�cns p n8 <br /> Cost nf Permit $ �15.0 <br /> , ' Skip next scction.if this applics; •�� E S .UO <br /> , fitate S g 2.0 <br /> ' M,ail-In Pee(If Applicablc) $ <br /> �'otel Pcrmit Fce s <br /> I <br /> �pprmit Fces Continued Qn Next PA�c) <br /> ' �I i <br /> I 2 ; <br />