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ec~iYed 1By. ~~ o~ Bid9. No, ~ <br /> <br /> .-,\1 ~ .',C_~~J Code-A.Phone4:3OP. M..S:OOA.M. <br /> <br /> PLUMBING PERMIT APPLICATION <br /> <br />Home Builder's Registration Ne,; <br /> <br />v ¢ ?. o,7/ , <br /> <br />Mailing Address; <br /> <br />Cross Street: <br /> <br />Addi-es~ <br /> <br />Residential: [] New: [] ,/ Addition: <br />Oommemleh ~ Alteration: I~ Relect~tlon; <br /> <br />Occupancy I U~seofBuildin9; <br />Changel [] <br /> <br /> NO. FEE AMOUNT <br /> ... B?e Price $20.00 <br /> Residential <br /> New.?nstruction (each fixture ...... $ 9.00 <br /> Alterations (~ch fixture) ...... _9.00 <br /> Re-located Residence each fixture. 4.$0 <br /> Commercial <br /> ........... New Oonstructio~,,(each'ii'xiuro) ...... i ~ 9.00 - <br /> Alterotloes (each fixture 9,00 <br /> Water Lines <br /> ............... For the first 100 feet or fracti'~n thereof 20,00 <br /> For additional 100 feet 15.00 <br /> Sewer Service Lines <br /> First 100 feet or fracti'on thereof 30,~0' <br /> Additional lOO feet 15.00 <br /> Mobile Home sewer/water connection <br /> (m~.irnu m 5 feet length 2~.'00 <br /> Other (a~s per OSPSC and...Bu[Iding Offic'lal .................. <br /> On-Site Technical Review apply at Marion C.o.u,~ty only ~_ , <br /> Re-lnsp,~ction Fee ~5.00 <br />" FEE ~__ <br />STATE SURCHARGE <br />PLAN REVIEW FEE $ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee. CITY FEE $ <br />TOTAL ~ <br /> <br />( ) I am performing work on a property I own or occupy. ' <br />(',~ ImmaregisteredbuilderOR( )fheau~hodzedrapresentativeof S]GNATUREOFAPPLI <br /> a registered builder, ~ <br />( ) The work will be pedormed by a registered builder. <br />( } ~her. <br />( ) I agree to instil .c~rding to the ,,brai,ed pla,s a,d specifications, the I,~ of the ,tare of 0~,0" and the ordin~,,es of Mado, Count. --. ~..¢¢~ ¢~ <br /> <br /> <br />