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12/12 2012 03:35+FA� 7634775629 f�0031004 <br /> , ,. � i <br /> I <br /> :.:r....,..� <br /> '�w.�:��;;;��'� i�"K�:. <br /> . • ,�'`• i•r'�' <br /> 'r.+Ili:'l. .. <br /> riXTUK� BSMT 1 2 O'R�IER Tt�TURE asMT I 2 OT ER <br /> TYPE FL EL F[. Fl. <br /> Watcr[�I�szt � Floor Drains <br /> I.avatary I <br /> 5ewer Fjectvt <br /> Bathtub i � <br /> Laundry 7�cay <br /> Shower I Washer <br /> r Wat�r Hcater <br /> I Kitchep�ink I <br /> � Disposal I Water Softener <br /> •I r' 7 i^��n/\1 r n. '1. �^ rt n— . '�(�il n f�A <br /> :� . <br /> �)ishwashcr ��B� <br /> ( <br /> Silicocks Miscell�neous <br /> � <br /> I <br /> , <br /> � <br /> , . �k��°,•a�•Y ";r;�;.�;':�,•."• <br /> ��w 7:.i �i�1'Sx•M�:'. �r i.f�;,. <br /> ;,.y.,,�;. � ��,�,; <br /> .�,.y�� ...��:t:,:....1�..;;:;„,��. <br /> �.. I . .. .�� �I�'.��ql 1 ..11•:�i:.'�iaa�'��+�n I"'Y� i' <br /> !�LI�i <br /> ❑ Yes.this seclian applics <br /> '('he replacement of unly otle Ltesl enti fixtu or li chat meets all three of the followin� <br /> requir�mdnts: <br /> I, Doe�rcquire modification to electrieal or gas servica <br /> I2. Has a tot I ws of SS00.00 or less; c 'n che cost of the fixture o�app�iance:And <br /> 3. Is improved,in5talled or replaced by the homeowner or licensed plumbing contractor. <br /> Cosl of Permit $ 15. 0 <br /> $kip next seclion,if this Applies; S�te Surcharge $ 5 0 <br /> Mail-in Pce(lf Applic�ble) $ 2� � <br /> Total Permit Fee $ <br /> (pc�lm;t Fees Continued On Ne:t Psge) <br /> 2 <br />