Laserfiche WebLink
u <-,�� �' �r��� <br /> � � �:: �` E�.. �'�' <br /> ��, � <br /> FIXTURE BSMT 1 T 2 OTHER FIXT'URE 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 /> ��� ����� %��� e �r��,�r X �„ " `r� "'�� " r�s��. <br /> �# � ,�",� a ✓ �� : � i. � � ;a � ��ix <br /> ��z��'" � � �a`�, �c�a�'�� ��,„� ��%,j `,�t�����' s �, �,�; � � <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture 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 Surchazge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />