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03/08/2018 THU 14: 19 FAX 763 473 8565 Sabre Heating & Air Cond 12003/007 <br /> Jr � SJTi) J I If R�T•. � � K11� I l� � N Tl 4{ R( IST �1�� Y�y R r�.9.�y� Y�111 � l �' <br /> . ..i.L _ � _ Sfia.r-.......,.. 1 ..1....1-..c....{a.a., r�ou..:,.:d:K�fA.•�7�1.n�..Fvu� ..���u�.:'YIL..E�. --_ J;iS;, .�fj <br /> FIX TUR T13SM'!' lir OTl'i1^.12 1^IX`I I.i1tf% 11Slvl1jsf---- `; m- <br /> U]HI:R <br /> TYPE I1 Fl, l'Y1'): 1'l, I1. <br /> • <br /> Water CloF,ei l,looi Drains <br /> Lavatory —ry ( Sower Ejector <br /> Bathtub Laundry Tray <br /> Shower �=— Washer <br /> Kitchen Sink — Water beater <br /> Disposal l Water Softener <br /> Dishwasher Wet Bar <br /> Sillcoc ks r Miscellaneous <br /> • <br /> • fI ;iolll I. t'l' t �,I ( U1 ,111f)il(`,� ,, • <br /> Yes,ibis section applies <br /> The replacement of only one R4sjdential fixture or appliance that meets all three of the following <br /> requirements: <br /> l Does not require modification to electrical or gas service, <br /> 2 Has awl cost of$500,00 or less;=Wing g 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 Pemut $ 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 Neat Page) <br /> 2 <br />