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� _ � . <br /> � <br /> ' , :; PLUMBING FIXTURE�BEING INSTAi;L�D . . �'� :, <br /> �FIXTURE BSMT ' 1 2 fOTHER FIXTURE ' BSMT 1 2 OTf�R <br /> E � ( FL FI, I TYPE FL FL <br /> VJater Closet � Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom i Laundry Tray � , <br /> Shower 1�l�asher � <br /> � KitchenSink � WazerHeater � <br /> _ _ ' _ <br /> D s�'�po as 1 � ; Water Softener i � <br /> � Dishwasher Wet Bar <br /> Sillcocks Miscellaneous � <br /> I <br /> , <br /> p'ERIVI.IT,FEE CAI.C:LTLATIaN(S) � } . �;. <br /> ' : �, '�` ,$ASED't7F� =2002 ST�'i'E S'�ATUE . ;� ;,;�`.�t�"�; <br /> ' Yes,this section applies <br /> �. <br /> The replacement of a Residential fixturesr anoliance that meets all three of the following requirements: <br /> 1. s n t require mo�ification to electrical or gas servic;e. <br /> 2. Has a t 1 cost of S50{�.00 or less;ex lu in the cast of the fixture or appliance: and <br /> 3. Is improved,installed ur replaced by the homeowner or licensed conkractor. <br /> Skip next section, if this appties; Cost of Permit $ 15. <br /> State Surcharge E •SQ <br /> Mail-In Eee(If Applicable} E 1.50 <br /> Total Permit Fee S I ,fiC� <br /> (Permit F'ees Continued On Next Page) <br /> � <br />