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Received By:: <br /> <br />MARION COUNTY BUILDING iNSPECTION <br />Sen~¢.o r Slag,, NO, 225 <br />22~J High Street NE <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Plumbing I~lstaller' ~,~/,,, <br />Home Builder's Registration NO <br /> <br />Residential;: ~ New;; <br />Commercial, ~ AlteratiCn:: <br /> <br />Phone:: <br /> <br />Site No ;; <br /> <br />Phone;: <br /> <br />Addition, [] <br />Relocation:: [] <br /> <br />Occupancy Use~,f Building:: ' <br /> <br />I~ase Price <br />Residential <br /> New construction (each fixture) <br /> Alterations (each fixture) <br /> <br />Re-located Residence (each fixture) <br /> <br />Commercial <br /> New Construction (each fixture) <br /> <br />Alterations (each fixture) <br /> <br />Water Lines <br /> For the first 100 feet or fraction thereof <br /> For additional 100 feet <br />Sewer Service Lines <br /> <br />NO FEE AMOUNT <br /> $2000 <br /> <br />$ 900 <br /> <br />9.00 <br /> <br />450 <br /> <br />9 O0 <br />900 <br /> <br />2000 <br />15,00 <br /> <br />First 100 feet or fraction thereof 30.00 <br />Additional 100 feet 1500 <br />Mobile Home sewer/water connection <br /> <br /> maximum 5 feet length) <br />Other (as per OSPSC and Building Official) <br /> <br />On-Site Technical Review (app y at Marion County on y) <br /> <br />Re-Inspection Fee <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee,, <br /> <br />a registered builder, <br />The work wirl be performed by a registered builder <br />Other <br /> <br />25,00 <br /> <br /> 2500 <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> CITY FEE <br /> TOTAL <br />SIGNATURE OFA~ <br /> <br />MC 15-45 <br />Roy 12~87 <br /> <br /> <br />