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• i <br /> i <br /> • , <br /> �,; :.� <br /> FIXTURE BSMT 2 OTHER F[XTURE BSMT 1 2 OTHER <br /> TYPE I�L FL TYPE FL FL <br /> Wator Closet 1 ' 1 Floor Drafns <br /> i <br /> Lavatory 1 � Sewer Ejoctor <br /> Bathroom � I <br /> Laundry Tray <br /> Shower � � Washor <br /> Kitchen Sink Water Hastor <br /> Disposal + Wator SoRener <br /> Dishwashor I Wet Ber <br /> � <br /> Sillcocks i Miscellaneous <br /> � <br /> I <br /> i <br /> � <br /> ��;j + ;. <br /> F'���,; <br /> .;� �� �'� _ � .� � <br /> 1���l� � �����;r n�',;',,r,� ��d �M1. ,s <br /> ❑ Yas,this section app ies <br /> I <br /> The replacement of a�te�Id�nt�al flxture or aoulisnce that meata all three of tha following requlremonts: <br /> 1• Does not requlre Imodlficetlon to electrical or gas sorvico. <br /> 2. Has a tot cost oIf SS00.00 or lass;excluding the,est of ths�xture or a�plian�o:and <br /> 3. is impr�ved, inst�lled or replaced by the homeowner or licensed contrector. <br /> I <br /> Skip next section if this applles; Cost of Pormit � I 5.00 <br /> State Surcharge S .SO <br /> Mail-!n Fee(If Applicable) $ 1.50 <br /> Total Permit Fee s <br /> I <br /> (Permlt Feee Condnued Oa ext Pwge) <br /> � <br /> I <br /> I 2 <br /> � <br /> � <br /> I <br />