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07/25/2017 TUE 8: 31 Fxx 763 473 8565 8nbre He�ting b Ai.r Cond 1�003/007 <br /> rnxrU� BSMT 1 z OT7�LR FTXT'Ult� HSM'l� 1 2 07H� <br /> 'I`YPE Fi. FI. T'YPF. F�, FL <br /> Water Ciosct �M � � � Flour brain� ` <br /> Lavatory � Sewcr Ejector <br /> Bat�tub � La.undry Tray <br /> Show�r ` Washer <br /> Kitchen Sink Wator�Tea,tsr �.,`.�,�T ^� � <br /> Disposal ` Wator Softonor <br /> , �7ishcwasher Wet�ar <br /> Sillccacks � 1Vliscel(aneous <br /> Q Yes,this section applies <br /> 'Ihe replacement of only one Residential fixture or appliance tfiat rneats all thrce of the following <br /> requirements: <br /> ], s n t require modificadon to electrical or gss savico. <br /> . 2. Has a tal cx�ti �f�SOU,00 pr ler,s;exciudinu the cast of the fixture or appliance:e,nd <br /> 3. Is improved,installed or replaced by the homeowner or licensed�lumbing contiactor. <br /> Skip next section,if tbis applies; Cost of Permit � 1 S.QO <br /> State SurCl�arge $ 5.00 <br /> Mail-In Pee(�f Applicable) S� 2.00 <br /> Total 1'ermit p'ee S <br /> (Pe�•�nit�'ces Cor►t�►�ucd Ou Neal Pa�a) <br /> 2 <br />