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07/25/2014 FRI 11: 02 F7�X 763 473 8565 Sabre He�ting 6 Air Cond �043/007 <br /> FIX'T[IRL BSMT 1 2 0'I�iER FIX'1�JR.1� S5�IT 1 2 OTHL�R <br /> TYPfl �+L �'L, TYPE f+L FL <br /> Watar Closat t � Floor Drains � <br /> �.�avatary 1 , � Sewer Bjector <br /> Bathtub � Laundry'�ray I <br /> Shower I � Washer � <br /> Kitchen 5ink I Water Heater <br /> Disposal � Water Softsnor <br /> Dishwasher � Wet Bar � <br /> Sillcocks � 1Vfiscellaneous <br /> � ❑ Yes,this section a�plie� <br /> The replacement of only one Rcsidcntial�xture or anpliance that meets all three of tho following <br /> requirements; <br /> l, poes n�t rec{uire modification to electrical or gas seavice. <br /> 2, Hss s�of$500.00 or lesa; x din the cost o�the fixtwe dr applisnco;a.nd <br /> 3, Ie improved,installed or replaced by the homeowner or licenaed plumbing contractor. <br /> Skip noxt soclion, if this applies; Coat af�ermit $ 15.00 <br /> State Surcharge $ 5•�. <br /> Mail-In Fee(if Applicable) S _2.44 <br /> Total Perroit Foe S <br /> (Permit Feea Confinued Un Ne:t pa�e) <br /> 2 <br />