Laserfiche WebLink
I <br /> I <br /> � , I <br /> I <br /> �C -,'1�f��{��f �iv�,�"�p;"�yy,ay'�,.�'N�+ y,.,y 1 �e. �■/,�{y�'Y [`�� f'( .A fy��J1 !l �l i f'. � r C' <br /> 1;±!h;�S� TSi1?��!+4:�W,�f�� � al' � '��Pf�J:J:L1��1V,��V' �'4����..y�r ".h � x��� <br /> FIXTURE BSMT 1 2 ° OTHER FIXTURE BSMT 1 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> 4 d¢°� ��^ � - �; � t��v � t " ��'.a "�'�pr� � <br /> � a �. � �� �' � <br /> x� e�j�,,,�� � ' .' � ....�'+��' � SE�'r�'�' a�M.'�p3����r �,.. <br /> S�a;uj , �'° <br /> �..,.,,.,,.a � s � <br /> , ..... . .. ....._.. ..�. . ,� . . , [:; r ,`�as ���4<�<<s,'�a6�-„�,� '��. <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture or liance that meets all three of the following <br /> requirements: <br /> 1. Does not require modification to elec 'cal or gas service. <br /> 2. Has a total cost of$500.00 or less;exc udin the cost of the fixhue or appliance:and <br /> 3. Is improved,installed or replaced by t e homeowner or licensed plumbing contractor. <br /> Skip next section,if this applies; Cost of Permit $_ 1 <br /> State Surcharge 5.00 <br /> Mail-In Fee(If Applicabl $ 2.00 � <br /> Totai Permit Fee S� <br /> (Permit Fees Continued On Next Page) <br /> 2 <br /> � � <br />