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. � <br /> . � <br /> �, , �.� �� ,.�-�, � .�. ,, � <br /> , <br /> , .,� . , , .. - - <br /> _ - <br /> a �� - , : <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> • TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> � Yes,this section applies <br /> The replacement of a Residential fixtwe or appliance that meets all three of the following 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 contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ :sg S�� <br /> Mail-In Fee(IfApplicable) $ 2.00 <br /> , Total Permit Fee $ 2•�V <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />