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.;11.4.11-4-1:/,..1.`1 ,;.,,,,,.,-,�b.,{{3��;;, ,,�q { .$a, gg3�.a a meq�{ E.y _..._E'qg �R � y <br /> "„@ t ti iii® -g okii 67R_Fi i �!%P y l ,� d'.r "r . � 'C.� <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1S1 2N1) OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathroom Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> a '# teax P'''4 <br /> Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following 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 contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> (Permit Fees Continued On Next Page) <br /> 2 <br />