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� <br /> g+�ry N�i Tg�zj, A'�'1 'S+3.TYM I 41 Yr 'fii..- �i`� �, 1..�, •,�.. . '�y�_J }� �„�� t'�� �'�°£ � '�j;�' _.'� '�i <br /> �. �a- _ <br /> FIXTURE BSAqT 1 O'I'HER FIXTURE BSMT 1 2 OTI�R <br /> TYPE FL FL TYPE FL FL <br /> . \�(� � Water Closet I Floor Drains <br /> 1, <br /> �o� ���, I Sewer E�� <br /> �� Bathr�m ��Y T�Y <br /> V�` <br /> pG� �' Shower W��' <br /> \ ��� <br /> � `� Kitchen Sink Water Heatet <br /> Disposal Water Softetter <br /> Dishwasher Wet Bar <br /> Sillc�ks Miscellaneous <br /> '"'„'. '�� �^�.�,��,��.��+��k��4 a. h' y. ':` � �I <br /> y, � �� " ���� , �.�l�� *- � ; �- �-. <br /> +,�.3�- i f �'; "=�� �:"`��X�.���.�":�� .Y��.. �����`. '� z Y.`�� �' �.�4 .+;� 3'��mt��, <br /> ❑ Y�,this section applies - <br /> The replacement of a�teside�tial fixbue or a�lxam�that me,ets all thrce of xhe following requiremeMs: <br /> 1. not require modific�tion to ele�rical or gas service. <br /> Z. Has a t�of$500.00 or 1�;eacc ' the c�t of the fixdue or appliance:and <br /> 3. Is improved,installed or replac�ci by the homeawaer or li�coaha�or. <br /> Skip next section,if this applies; Cost of Pennit $ 15.QQ <br /> State Sorcharge $ .SO <br /> Mail-In Fee(If Applicable) $ l SO , <br /> TMat Pemdt Fee $ <br /> (Permit Fees Continaed On A1est Page) <br /> 2 <br />