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MARION COUNTY <br />BUILDING IN$~..(~ING PERMiTAPPLiCATiON <br /> <br />Owner: Phone: ;, <br />Job Address: ~ ,~ "' - ' · Site No.: Cross <br /> <br />Pluming Installer: '" Phone; ~d~ess: <br /> <br />~o~e~oi~h Z ~lt~m~lon: ~ ~R~lco~tico: <br /> <br /> ' ' " NO <br /> :' , FEE AMOUNT <br /> Base Price $~0.00 <br /> Re~ dent a '. <br /> New COnstruction each fixture) "' ~_~ $ 9,00 ....~'Z~, <br /> Alterations (each fixture) . . . ' i 9.00 <br /> Re-located Reeidence (each fixture) .....' ' 4.50 <br /> Commercm , <br /> New Construct on (each f xture) 9.00 " <br /> Alterations (each.,,fixture) .... ,9,00 <br /> WaterLines '" <br /> For the first 100 feet or fraction thereof" ', ' 20,00 <br /> For additioea[ 100 feet ' <br /> " ' ,;.,, 15.00 <br /> Sewer Service Lines <br /> Of <br /> First 100 feet or fraction the~e , , 0.00 <br /> Additional 100 feet .... '" ' ' , 15.00 <br /> Mobile Home sewer/water connect on , ' <br /> (maximum 5 feet length) , 25.00 <br /> Other (as per OSPSC.and Building ~ficlal) . , <br /> On-Site Technical Review (apply at Marion County on y)' ' <br /> Re-InspeCtion Fee · 25.00 <br /> . , FEE $ <br /> · .. ' STATE SURCHARGE <br /> , ' PLAN REVIEW FEE $ ,, <br /> INVESTIGATION FEE <br />Please return COMPLETE APPLICAT ON FLEET SURCHARGE $ <br />with the indicated fee., , CITY FEE $ <br /> TOTAL / Sn ~-o <br /> <br />, ) I em pedorming work on a properly I own or o~upy. ~' '' <br /> <br /> a regi~ered bullden ~ <br /> , The work will be performed by a mglste~e~J buiFJe~. ~ <br /> ~ Otbar <br /> . lagreetolt~sta[lae¢o~din§ b3thesubmitted~a~san~sDe~f~cati~ns~t~e~ws~fthestate~f~reg~nandthe~nan~s~fMaH~c~unt~ <br /> ¥ <br /> <br /> <br />