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12/21/2017 THU 12: 06 FAX 763 473 8565 Sabre Heating 6 Air Cond fj003/007 <br /> • <br /> ..I.f`•..1'.-1«.LL�..L 1��.1.-.. ...' l.1TY[��.... .al {:arl. w.+ R,Llfn`��,i .. .. .✓ • .�Ih ..�..«...uM�rll..�i� .r..aJ...)�.1�11 <br /> FU TURE $SMT 1 2' OTHER FIXTURE BSMT Fr. <br /> 2"u UTIIT?lt <br /> 'TYPE FT. 11, TYPE FL FT., <br /> Water Closet I 3 Floor Drains <br /> Lavatory I 5 Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower I Washer 1 <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks 2_ Misc llane us <br /> ,1 I 1�`.11 t I Ir I��r `` E.�1� fl r.'O If ' Il..'Tc. <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 modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excluding 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 Surcharge $_ 5,00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee S <br /> (Permit Fees Continued On Next Page) <br /> 2 <br /> , . �^ - _,- • <br /> --. .. , - - . - �� .. - -.. <br />