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06/18/2015 THU 12:42 FAX 763 473 8565 Snbre Hedting & Air Cond �003/007 <br /> FIXTURE B3MT 1 2 0'�TER FIXTUKL 9SMT 1 2 OT�It <br /> TYPE �'L PL TYPE FL k'L <br /> Water Closet I Floor Dxains <br /> I.av�tory 1 � � Sewe�Ejector <br /> l <br /> � Bathtub � Laundry Tray 1 <br /> � <br /> Shower � � Washer <br /> Kitchen Sink 1 Watcr Heater 1 <br /> L { <br /> Diaposal �1 Water Softener <br /> l <br /> Dishwasher l 'Wet�ax <br /> Sillcoaks � Miscellanaous <br /> � <br /> I ❑ Yas,Chis soction e�pliea <br /> I <br /> � The replacament of only one R�identisl fixturo or annli�ns�that meet�all three of the following <br /> � reyuircments: <br /> , 1. Aoas not require modificauon to electrical or gas service. <br /> 2. Has a��1 cost of$500.00 or less;�the cost of tha fixture or appliance:and <br /> 3. Is improved, u�stalled or replaced by the bomeo�uvner or licensed plumbing contracwr. <br /> 5kip next section,if this applias; Cost of Fermit � 15•40 <br /> Stace 3uzcharge �g.� <br /> NTail-In Pce(If Applicable) � 2.00 <br /> '�'otnl�ermit Fee S <br /> (Permil Feen Coatinued On Nest�'age) <br /> 2 <br /> i <br />