Laserfiche WebLink
, , � <br /> ��� `��;. �...' '' ��., ; : '�� � ��. , <br /> � �. .�. <br /> _ �.- <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener I <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> ��- 2', �� �s����� - ; � ��-� ��� � � ��y� �� <br /> J } z� ,�z,o��, � s� ��- +� =b� �..�.f.. � , e �t rr � - <br /> , � � u..u�..., i.,_:, ,z_:.�.. �aF*5, ���F���_"ID Lr ...�������., E �lf ��r <br /> ❑ Yes,this section applies <br /> The replacement of only one Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1. Does not require madification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed plumbing contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surchazge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $o?O�c40 <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />