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FIXTURE BSMT 1 2 ND OTHER FIXTURE BSMT 1 2 ND 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 <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> _ 9 ��;4�f�;k N � i � � .k _ _ b � n J'r: .s+a��1..'•h�`4- �$i ��'-: <br /> ❑ Yes, 's section applies <br /> I <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. oes not require modification to electrical or gas service. <br /> 2. as a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and <br /> 3. I improved,installed or replaced by the homeowner or licensed contractor. <br /> kip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $�� <br /> (Permit Fees ontinued On Next Page) <br /> 2 <br /> i <br />