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11l04l2015 15:27 Steinkraus Plumbing �A�952�1� P.003l004 <br /> C �` <br /> . . , : .. <br /> .. . ... . : :::.:°�;;:. :.:,.,.��iJ1VlBI�:G`.k'.I�'�12::ES.:.BETN�r;'�TSTALI;ED:.�;',:::.�:';: �'.:'.... `:.';;';. <br /> FIXTURE BSMT 1 2 OTT3ER FIXTURE BSMT 1 2 OTT�R <br /> TYPE TL �'L 'i'YPE FL r1, <br /> Water Closet � �• �toor Dcains <br /> Lavatory � � Sewer EjeoEor <br /> Batht��b .,� � I,aundry Tray <br /> Showec p d Washer <br /> 0 <br /> Kitahen Sink Water Hea.ter <br /> Disposa! Water Spftener <br /> � Aishwasher Wet Bar <br /> Silicocks Miscellaneous <br /> ;;:.:.:e¢}y;iiP:.,utt:2<^"�;";.E"'r,il.'?s,r:`o:J'S:,�;':'^:'f+.:::::.,•... ...... _ .;<.��c <br /> ••,�,..... .�....., ...�... , ... <br /> v�. ::♦ .i" ;f.'.:.: � •,�sy•.•..•r.'..�::'".' 'a �:j41,:i�.,.�::i.i!:i?'i'i !`T':i^�:: <br /> '.��.1C•G:L•:1�:,r;::..:......:::}.....i.'F..: ��l..�i',:.:.�,,.. •� . . .r. .Y 7" <br /> � �f. <br /> k.. G. � E�E:,� �.'� .:,'r�, ..C}�1': <br /> ,.ryr•, . <br /> ..,.; <br /> .:P �=�� �A� �, fi� <br /> ,..:.:.....z,...,. .. ....... . � . , . ,... .� „�? <br /> ,,.,,,:.:,.,t::.,.::.,, :.: <br /> ,�? ;.�� ,�,�. <br /> . ��.. �.::..�..:�::)::..... . . .={ .:.:'. R. ..4�� �1... .r., to�:4`..::.��...�et.�._V.b.'::..... .'.•:�•:_. . <br /> •::...,.,,.:.� :... .., ....�...�.,, �.,...�.�,. ... �, .!. ..00. �.� ..�.. .... .... a. <br /> .'•• ;�:':( <br /> , .,..,..� r.... . ........ ... .. �n. � . . ... ...._...r.: ..�. .�...i�..i.,,.::: .�...:;:+::4:..,�..���?",��'•� ,.�1��'::�ci';`,..;�,':: <br /> ;..o.r:�,...;�...,;.,,.r.. . .�...,.„r+.:a,�.:.;. .� i ' ";;n;..,.; <br /> �.. <br /> .......�.,,;..,,r.••�<:::e::.;'�::::a�r>:.�,iS::r'•:;�....s:,::3: .. 7 . .,. �:. .• •;�. ' .t•.J�'�t <br /> ��., ., <br /> . :,,. ,:,:�.�.�.,a:�.•:�.,,.:,, ..t :.-a,,....:�.,:.•:.,...... . ; v .• t.w{ .,:^:�. <br /> �.BA,,SEA..,t�� .�.,.�00 .��:��:`S:x;A;TC�.:;�?�:;;:` ;:';<: <br /> :,..:,..,_.......... .......:....,...,.:....,....,.... .. .. . . � ;. . ,.. .�.�.,........ .. .,. <br /> ❑ Yes,this seotion applies _ <br /> 'Fhe repIacement of onl�one Residencial fixt�re or appliance chat meets all three of the following <br /> requirements: <br /> 1. Does not require modificaeion to slectrical or gas service. <br /> 2. Has a total cost of$500.00 or iess;excludine the cosr of the fixture or appliance:a.nd <br /> 3. Is improvod,instalied or replsced by�te homeowner or licensed plumbing concractor. <br /> Skip n�xt section,if this applies; Cost ogPermit $ i5.00 <br /> Stste Surcharge $ 1.00 <br /> MaiI-Tn Fee(If App[icable) $ 2.00 <br /> Tota1 Permit Fee $ <br /> (Permit Fees Continued On NeXt PAge) <br /> 2 <br />