Laserfiche WebLink
' . . <br /> FKTURE BSMT 1 2 OTHER FIXTURB BSMT 1 2 OTHER <br /> Tn'� FL FL TYPF FI, gL <br /> Wster Closet � � Floor Drains i <br /> 1 <br /> Lavatory 4 Sewer Ejector <br /> Bathtub Laundry Tray <br /> z <br /> snoW� , wasn� } <br /> Kitchen Sink } Water Heater � <br /> ti <br /> Disposal ` Water Saftener <br /> Dishwasher � Wet Bar <br /> Silicocks Miscellaneous �� <br /> � <br /> D"1""' <br /> � <br /> ❑ Yes,this section applies <br /> 'The replacement of only one Residential fixtura or a�gliance that meets all three of the following <br /> requirements: <br /> i. Doe�not require modification to electrical or gas service. <br /> 2. Has a���of$SOO.Oa or less;�xcluding the cost of the fu�hue or appliance:and <br /> 3, Is improved,instalted or replaced by the homeowner or licensed pEumbing contractor. <br /> Skip naxt section,if this applies; Cost of Permit $ 2 5,00 <br /> State Surcharga $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Tota!Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />