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PLUMBING FIXTURES BEING iNSTALLED <br /> FIXTURE BSMT 1�� 2"" OTHER 1=1XTURE BSMT 1" 3ND OTHER <br /> TYPF FL FL TYPF, FL FL <br /> Water Closct Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater � <br /> Disposal Water Softei�er <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellancous <br /> PERMIT FEE CALCULATION(S) � <br /> BASED OFF - 2002 STATE STATUE <br /> � Yes,this scction applics <br /> �� � <br /> The replacement of only one Residei�tial tixture or a�liance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of�500.00 or less; excludin�*the cost of the fixture or appliance: and <br /> 3. [s improved, installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section, if this applics; Cost of Pennit $ 15.00 <br /> Statc Surchargc � 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $�(� <br /> (Permit Fees Cuntinued On Next Page) <br /> 2 <br />