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07/25/13 03:38PM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg 3 <br /> /4 <br /> . <br /> PLv�tanvG�rxzvt�s B�nvG�rrsT�u,i,�n <br /> F�c� ss�r 1 a o� FIXTURE BSMT i z 0� <br /> 'I'YPE FL Y�L TYYI"E FL FI. <br /> Watet Cloaec � Floor Dtains <br /> Levatory � � 8e�uv�P�j�Wr <br /> Badatub � Isundry'�ray I <br /> Showa�' � Wssher I <br /> Ki6chenSutk ! W�terHaater <br /> p�� ( Wat�Softener <br /> Dishwea�� � Wet Bar � ' <br /> Sillcocks � Mscellaaeous <br /> �PERMIT FEE CALC[JI.ATION{S}. � <br /> � $ASEI)Q�°F-Z002 STATE STATUE � <br /> ❑ Y�,this section appliee <br /> The replacement of only one,���dential fixixau�or olianoe that meets all three of th�fo�o�wing <br /> requirements; <br /> 1, �raquire modifiCBxion to ele�t�TiC81 or ga8 BefviCe. <br /> 2. Hae a�at of$SOO.W or lese;axciudina the cost of the fixuue or appliance:and <br /> 3. ls improved,inatslled or replaced by the homeownet or licensed plumbing contactor. <br /> Skip next se�don,if�is applies; Cost of Permit $_, 15-� <br /> S�te Surcbarge $ 5.00 <br /> Mai1�In Fee(If Applicsble) $ 2.� <br /> Total Permlt Fee S <br /> (Permlt Fe�s Coniinucd Ou NeYt Pa�e) <br /> a <br />