Laserfiche WebLink
PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1 2ND O'THER FIXTURE BSMT 1ST 2rI° OTHER <br /> 7'YPE FL FL T'YPE FL FL <br /> Water Closet Floor Drains <br /> / <br /> Lavatory Sewer Ejector <br /> � <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> � <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture or appliance 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 fiacture or appliance:and <br /> 3. [s improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />