Laserfiche WebLink
* <br /> T <br /> _ . � � � ��� <br /> - ; Pi�;UlVIBING;FTXTURES;BEING,INSTALLED <br /> FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwasher Wet Bar <br /> Sillcocks Miscellaneous <br /> ';� � ' n n �� ,PERM�'�EEE�ALCTIL�,T'ZQ�1'(S)` � �. �' <br /> ,;'� `�� ° r`��� �� BASED'C�FF :2002'�STAT��STATUE. .` ' � ' ` :' <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all tluee of the following requirements: <br /> 1. Does not require modification to elechical or gas service. - <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed conn•actor. <br /> Skip uext 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 />