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i <br /> Jan 31 13 01:17p Ste art Plumbing Inc, 763-428-1733 p.3 <br /> PLUMBING FIXTURES BEING INSTALLED <br /> FIXTURE BSMT 1 2 OTHER FIJtTURE BSMT 1 2 OTHER <br /> TYPE FL FL TYPE FL FI. <br /> Water Closet l 2 � Eloor Drains � 1 �. <br /> J i �.,� <br /> i <br /> Layatory � 2 � 'M `ro�? Sewer Ej�tor <br /> �J <br /> Bathtub I Laundry Tray � <br /> Shower ` 1 � Washer � � <br /> � 1 <br /> Kitcben Si k � } Water Heater <br /> ,.� <br /> ," �1 ��'r Disposal+:,-, �C,�` I., �b Water Softeneir ^ �-"'� �-�. <br /> � <br /> Dishwash ' ' � Wet Bar � <br /> Sillcocks ? Miscellaneous <br /> J <br /> ___.__---_ _ _ _.__ <br /> . . ��� �' <br /> ._,. _ . _ .. <br /> . �'. !1 , '':. ,. <br /> i � : t , <br /> i <br /> _ .. _ __ ..._ . ._ _ <br /> .. <br /> � '. _ PERMIT FEE CALCULATION(S) ` <br /> __ _ __--- _ _ . -- - . ___ _. <br /> � .<<< ; BASED O�F -2002 �T�TE STATL'-E <br /> , _ Y thi$section __ _. <br /> - - <br /> _ .._ _ _ . _ <br /> ❑_ , aPPlies � ; I � � �� � <br /> . p _ y .__ _ ._ .__. . _,. . _ . _ <br /> 'I�e're la eirt afqnl oae Residential fixture or agpli'�ance that meets;all three of the foll�owing <br /> r ' ;__ ---- - _ ,-. ,_ _ __ __._ : _- - <br /> requ�re� _ _ <br /> �� ._ ,�:�te <br /> 1. _.Doss.not regurre modi6cati�n to electrical or gas sen•ice._; � . , . _... _ <br /> � �2. Has a total oosc of 5500,00.Pr less;excludi'na the Gb's�of the fixhue or appliance:and <br /> _ 3. _ Is i�n�coved,'installed or r.e�lace�d by the homeowner or Licensed plumbin��oNractor._ _. _ <br /> , �., , , , � , <br /> Skip next se�tion,ifthis ap Eies; Cost ofPermit $ 15.00 <br /> _ _ � � State Surcharge ,__ . $ _ 5:00 _ <br /> , � ; _;. Maii-[n Fee(If Applica�le) $ 2.00 <br /> I __ _ _. _.__.__ _ __._. _ ._ . . . ,._ <br /> Total Permit�Fee S <br /> t <br /> (Permit F s Coatinued On Next Page) <br /> . __ . __ . . ._. -- -- __ _ j __. _ . ...._... ._._ . <br /> ( ' ., . .i. <br /> . .. ' <br /> _ ���.:;:�.��.:�u��� ��,;��� � 2 <br /> � � <br /> ... . . I l�� ..'11��`,'. '�l'4��. . 1C � i-.;j0j.. -''.. .__ .... . � fl: I �, ;V,' I'_ <br />