Laserfiche WebLink
FIXTURE BSMT 1 2 OTI�R FIXTURE BSMT 1 2 OTI�R <br /> TYPE FL FL TYPE FL FL <br /> Water Closet 1 1 3 Floor Drains 2 1 <br /> Lavatory 1 1 5 Sewer Ejector <br /> Bathtub 2 Laundry Tray 1 <br /> Shower � 3 Washer 1 <br /> Kitchen Sink ,� Water Heater ,� <br /> Disposal ,� Water Softener <br /> Dishwasher ,� Wet Bar ,� <br /> Sillcocks Miscellaneous 2 <br /> SUMP PUMF 6 ROUO <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />