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MARION COUNTY BUI,L~I~G INSPECTION <br /> <br /> ~ ~ ~lem, O~n 97301 <br /> ' ~=~ COU~APhOne430RM 800AM .... ' : ,.- ..... <br /> <br /> MARION OOYN~t~PLUMBING PERMIT APPLICATION <br />BUiLDiNG INSPF.¢ltOII <br /> <br />Situs Address <br /> <br />Phone;; <br /> <br />Site No <br /> <br />Addition:: <br />RetOCation <br /> <br />Address: <br /> <br />Occupancy [ LI2~e of Building <br /> <br />Base Price <br /> <br />Residential <br /> <br />New construction (each fixture) <br /> <br />Alterations (each fixture) <br /> <br />Re-located Residence (each fixture) <br /> <br />Commercial <br /> <br /> New Construction (each fixture) <br />'"~,lterations (each fixture) <br /> <br />Water Lines <br /> <br />For the first 100 feet or fraction thereof <br /> <br /> For additional 100 feet <br />Sewer Service Lines <br /> <br />Fimt 100 feet or fraction thereof <br /> <br />Additional 100 feet <br /> <br />Lawn Sprinkling System <br /> <br />To and including each protective device <br />(es per OSPSC and Building Official) <br /> <br />On-Site Technical Review (apply at Marion County only) <br /> <br />Re--I_n_s. pection Fee <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee <br /> <br />NO FEE <br /> <br /> $ 750 <br /> ? 5o <br /> 375 <br /> <br /> 758 <br /> 7,50 <br /> <br /> 2000 <br /> 15,00 <br /> <br /> 3000 <br /> 15 00 <br /> <br /> 5 00 <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />DOUBLE FEE <br />FLEET SURCHARGE <br /> <br />AMOUNT <br /> $10,00 <br /> <br /> ,, ,¢-"o. oo <br /> <br />$ <br /> <br />TOT^L I$ <br /> <br />MC 15-43 <br />Rev 3t87 <br /> <br /> <br />