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FROM :Finken Companies FAX N0. :3202582006 Nov. 18 2013 01:52PM P2 <br /> FiXTURE ASMT 1 2 OTHE?R FIXTURf.'s BSMT 1 2 OTHER <br /> 'TYPE t�L Ft_ TYYE; FI., FL <br /> Water C:loaet Floor Drains <br /> Lovatory Sewer Ejectot <br /> g��b Laundry Tray <br /> Shc�wer Washcr <br /> Kitchen Sink WAter l-Teaker <br /> plypos� Water Soi�cner <br /> Dishwasher Wel Bor <br /> $ilfcacks Miscel laneous <br /> [] Yes.this section applie4 <br /> The raplacement nf only one ii�sidential tixture..Dr anolianco that meete all three uf the following <br /> requirements: <br /> l. not require modification to electrical or gas service. <br /> 2. Has a otal co of�500.00 or less; in the cost�f the fixture or appliancc:and <br /> 3. Is improved,installed or replaeed by the homeownet or licensod plumbin�ccmtrtteWr. <br /> Skip next section,if this a�+plie�; Cost of Permit $ 15.00 <br /> State Surohargc S 5.� <br /> M�il-Tn Fee(If Applicable) $ 2.00 <br /> Total Te��nit Fee S <br /> (Permit Fees Contlnued Qn Next Page) <br /> � <br />