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03/19/2014 10:52 Steinkraus Plumbing ffA�q8523619908 P.002f004 <br /> . . _ �. .... . .. <br /> . . A . .. .�.� � . <br /> .1.v ,� : ' ' ' � ' .• i I. —� �'�.�'sfi. ! <br /> J� �I'1 '_ _ .V <br /> FIXT[TRE BSMT Z 2 OTH$R PTXTU� BSMT 1 2 OTHER <br /> TYPE FL FL x"Y'�E FL FL <br /> Water Closet � Floor Drains <br /> Lavatory � Sewer Fjector <br /> Bathtub Lau�ndiy Tray <br /> Sk�ower � Washer <br /> Kitchcn Sink Water Heater <br /> Disposa! Water Softener <br /> Dishwasher Wet Bar j <br /> � <br /> Sillcocks Misce�lan�us <br /> r. . ; . _ .._. _ �� � . <br /> ' ' ' �"N y ' A �'r� �r ' " _ r' .f.{u ` ,N, �i' <br /> ❑ Xes,this section app(ies <br /> �'b�e replacernent of ont�oae Residenual fixturc or appliance that meets all three of the following <br /> requirel�e�tS: <br /> 1, boes not require modi�ication to electrical or gas service. <br /> 2. Has a total cost of$500.00 or iess;excludin the cost of the fixture o�r appliance:and <br /> 3. Ys improved,installed or replaced by the homeowner or[icensed pluznbi�;g contractor. <br /> Skip next section,iFthis appties; Cost ofPermit $ 15.00 <br /> Stat�Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (�ermit�'ees Continued On Nezt Page) <br /> 2 <br />