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67�23�2014 09 : 10 From : Leupke Plumb Right Plumbing Page : Zi3 <br /> _ ; ,,: <br /> ., � � .. � .,..... .., ,:, ,... .. �wa .a <br /> : . . . ....:: �, } <br /> , � � , ,., , <br /> .� .. <br /> :, - <br /> _ w� ... <br /> , �. ,, �._ <br /> FI:�.'FUR.F BS'�4T ly 2` OTfiER FlXTL'�RF: 13S?�9T t` 2� OTHER <br /> 'i'l'F'� FL F'L 7'�'E'E FI: FL, <br /> Water Claset f�loar[)rains <br /> Lavatc>ry Sewer Eject��r <br /> Hafhtub Launcfrv Tray <br /> Shower l�V�sher <br /> Kitehen Sink W'ater�ieaier <br /> _.�-- <br /> Dis�osa.i 1Nater Saf�ener <br /> Dish�vaslzer �J4'et Bar <br /> Sillcocks � vtisc;ellaneous �� <br /> ,��. <br /> �"�`� � .,�� f�44��G.��� � �'��""`�-� � <br /> �� � <br /> ��"^"�ta�'t,�,�ix�k��fi �,:+�°ia���'� � .t�� �'�u S�i�`r����'�'x��l�h'�"� �����:: <br /> x"�e �5. ; 'h x i �"`a�r �. � .y. � �.��-r=. <br /> �L'���r"�� b"�ufi ta � �,�+ , r b ^ � ��+'��r �a,:h � .�M: <br /> ����:���'� ���`.�.�+��� ��� . i�a� � �� �� � r � , <br /> �+ � .>.,,. � ,., y� , �, a �._... �. � •'.•�" �.�a,..,�. <br /> - <br /> ❑ Yes,this szctio��app[ies <br /> The replacen5ent of ont,y azee:R s' �i�l�rk�„ ure�v app{iance tliat ct�e.ets ail three uf iJi<.failowing <br /> requirements: <br /> (. i3oes not reyuire n3odi.ficatian to eie4trica}or�:as service. <br /> 2. I{as a a 1 st of$�(10.0�or less;ex.cEudi«�the cost af khe fixture ar appliance:and <br /> 3. is impm��ed,instaEled c�r repiaced by the homeowner Ur licensecl plun�bin�cc�ntra.ctar. <br /> Skip next section,ii'this appfies; C:ost of Permit � 15.00 <br /> State 5urchar�e � 5.06 <br /> Ylail.-In Fee(If AppEic�ble) S�2.�Q <br /> T'otal F'ermit Fee 5+ "' <br /> (Pernait Fee.r C;ontiazued Un 14ext Page) <br /> � <br />