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X¢ /- MARION COUNTY~BUILI~ING INSPECTION <br />Received By;: ~ ~ ;g~netor Bidg, NO, 2~ <br /> <br />PERMIT APPLICATION <br /> <br />Job Address· Site NO :: Cross Street' <br />Pluml~ing Installer · Phone Add <br />Home Builder~ Registration No,,;; <br /> <br />Residential ~ New ~ Addition:; ~ Occupancy Use 0f ~uiiding <br />Commercial;: ~ Alteration:; ~ Relocation:: ~ Change:: ~ <br /> <br /> NO,, FEE AMOUNT <br /> Sase Price $2000 <br /> Residential <br /> <br /> ,, , New construction (each ........... fixture) ~ $ 9,00 .~ 0 ~-~ <br /> Alterations (each fixture) ....... 9 00 <br /> Re-located Residen~.e.,!?.ch fixture) 4,50 <br /> Commercial <br /> New Construction (each fixture) 9 00 <br /> Alterations~(.e.~ah fixture) 900 <br /> Water Lines <br /> For the first 100 feet or fraction thereof 2000 <br /> Far additional 100 feet ...... 15.00 ....... <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof 30 00 <br /> Additional 100 feet 1500 <br /> Mobile Home sewer/war ~i"~onnection <br /> (maximum 5 feet length) 25 00 <br /> Other (as pe?,,,~SPSC and ~u~'i~"of f'lcial ...... -- ..... <br /> On-Site Technical Review (apply at Marion County only) <br /> <br />,Re-inspection Fee 25.00 <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ ,,,','~o <br />with the indicated fee,, C~TY FEE $ ~,, <br /> <br />~ registered builder <br /> <br />Other_ <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />