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12/12/2012 03: 141, FAx 7634775629 f�003f004
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<br /> F'IX URE EiSMT 1 2 OTHER FIXTIJRE 135MT I' 2 OTI•IER
<br /> 1��YP� f�� FL �-^ TYPE FL r•i. ��n
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<br /> Wa[eh C:loset n Floor Dcains
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<br /> Lavaaory � Sewer Ejector
<br /> Hachtpb ` Leundry'(�ay
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<br /> Showpr . ' W�h� I
<br /> Kitchgn Sink I Water Heatcr
<br /> Disposal � Wattr Softener
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<br /> Digh ashcr I Wet Bar `` '
<br /> Sillco'ks Misccllancous
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<br /> ` --!--Yos.-kliTs secti�;applies . _` . _. . . _. __ ;_. . :_._.
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<br /> re uir�ments '- -..._ ._ . ._ . .. __. �� ;
<br /> �'he r�la�cemettt af onl rtesidential fixture or�aenlisaotthat mects all three of th�fo';`. - , I
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<br /> 1' � 2: H�s-a��gtal�rost of$SOa.00 or less;e 1 � F�service.
<br /> oes ot rcc uire modification to electricat u�
<br /> 1, D 'n he cost of the fixtuce oc.,applia�nce:.�nd .. .____
<br /> � + �� 3, Isi improved,ins�alled or replac�d by the hoihtowno�or licensed plumbing contr�ctor. �
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<br /> ' ` ' kip next scc�ion,if this applies; C`�os[b�P`Permlt $ 1�.
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<br /> _ _ , Nf�ni{-1�ti�Fee(If Applic�ble) $ .
<br /> -T�taLPermit Fec .... $
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