Laserfiche WebLink
� PLUMBING PIhTURES BEING INSTALLED � � <br /> FIXTURE BSM"I� I'� 2ND OTl-lER FIXTURE 13SMT IsT 2'�'° OTHER <br /> TYPE FL FL TYPE FL FL <br /> W ater Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous / ��� <br /> l <br /> i�.���cr�C� <br /> PERMIT FEC CALCULATION(S) � � � � <br /> � BASED Of�'F - ?002 STATC STATUr �� <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or ap�liance that meets all three of the followin�requirements: <br /> 1. Does not require moditication to electrical or gas service. <br /> 3. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip iiext section, if this applies; Cost of Permit $ 1�.00 <br /> SCate Surcharge $ .50 <br /> Mail-In Fee(If Applicable) .---�-----t�SII�� <br /> Total Permit Fce $ /5, �j�J <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />