Laserfiche WebLink
t, <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1sr 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet / Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub 1 Laundry Tray <br /> Shower , Washer <br /> Kitchen Sink I Water Heater <br /> Disposal 1 Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> '€w a p. a x.,aanar 1; :: 7i 7 74 TP'4 <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 $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />