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Flpr '3b 09 06: 11p John Volkmar 952-471 -3155 p. 3 <br /> PLUMBING FTXTURES BEING IN5TALLED <br /> � 'rURE 83MT 1 2 OTHER FIXTURE BSMT 1 2 OTf-�R <br /> ypg FI, FI, . TYPE FL FL <br /> ater CloL � ��r�s <br /> �7 vT <br /> av8tory � � Sawer Ejector <br /> ni} Sin <br /> � I,auudry Trey <br /> hower � Washer <br /> ' hen Sink W�'H�'�T <br /> •y.pp� Wat,c['Softener <br /> 'shweshet Wet Bas <br /> illcocks M�e�O� <br /> PERMIT FEE CALCL�I.ATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> Ycss,this section applies <br /> replacement of a Residential lixhue or suoliance that meeis all tl�ree of lh�following raquiremcnts: <br /> 1. �naquine modification to electrical or gas seivice. <br /> � 2. Has a total cost of$500.00 a�less;e c ' the cost of ihe fixnue or appliance:and <br /> 3. Is improved,installe�or replaced by the homoowaer or licensed contractor. <br /> Skip next section,if this applies; Cost of Perntit $ ]5.00 <br /> State Surcharge $ .50 <br /> • Mail In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee �� <br /> (Pcrmit Fees Coatinned On Nest Page) <br /> Z <br />