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O1/91/2017 TUs 8: 59 FA7c 763 �73 8565 Snbre He�ting 6 Air Cond f�006/047 <br /> FDCI'URS BSMT 1 2 OTH�.R FIXT[JRE BSMT 1 2 OTI�R <br /> TYPE FL FL TYPE FL PL <br /> Water Closet � � � Flaor Draina ` <br /> Lavatory ` ` � Sawor Bjectur <br /> Bat�tuh � Laundry'I'iay ' <br /> Shower t .z Wesher � <br /> Kitche�Sink 1 Water Heater ` <br /> t <br /> Aisposal � Water 3ofbener <br /> Diahwasher � Wet Bar 1 <br /> 1 <br /> Sillooaks � Miscellsneous <br /> ❑ Yea,this seotion appliea <br /> 'Ihe repleceanent o�a�ly one Reaidentisl fixture or aRpliance ti�at meet�all three of the fnllowing <br /> re4uiretnenrs: <br /> 1, �„p�requiro modification to elac�aical or gas servicx. <br /> 2. Haa e�of�500,00 or less;�the cost of the�ixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or iicensed plumbing contractor. <br /> Skip next soction,if this appGos; Cost of Pem�it $ 15.00 <br /> 3tata Suroharge � 5•00 <br /> Mall-ln Fee(Jf Applicable) S 2,OQ <br /> '�'otal Permit FeE S <br /> (Perrnit Feer Contioued On Neat PA�e) <br />� 2 <br />