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Sep 22,1408:23a Preferred Plumbing, Inc. 952-447-5764 p.3 <br /> PLUMBING�IXTURBS BEING:IN3TALLED .>. . <br /> FIXTURE BSMT 1'' 2N OTHER. FIXTLtRE BSMi' 1 2 ° O'�'NFR <br /> TYPE FL FL ! TYPE FL FL <br /> Water Closet � ' Floor Drains <br /> I.avatory 3 Se��er Ejector <br /> � <br /> Bathtub i � Laundry Tray � <br /> Sho�ver ; Washer � <br /> Kitchen Sznk Water Heater <br /> DisposaE I 11Jater Softener <br /> pish�i�asher � VJet Bar <br /> Sil(cocks � Miscel laneous <br /> , . PER�IT FEE CALCLTL�TZQN(�)�' . : <br /> BASED OFF-2002 STATE STt1TUE <br /> Q Yes,this section applies <br /> The replacem�t of only ane Residexrial fixture or annliance that meets ail tfiree of the following <br /> requirements: <br /> 1. Does not require modificanon to electrical or gas service. <br /> 2, Has a toral cost of$500.00 or Less;excludzn¢the cost of the fixture or appliancc: and <br /> 3. Is improved,instafled or replaced by the liomeownex or licensed plumbing contractor. <br /> Skip next seccion,if this applies; Cost of.Pertnit $ 15.00 <br /> State Surcharge $ �.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fcc $ <br /> (Permit Fees Continued On Next Page) <br /> � <br />