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'~ Senator Bldg, No. 225 <br />Received By:h~'~' ~"J~ 220 High Street NE <br /> <br /> Phone ~-5147 <br /> <br />INSPECTION <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> Ow : PhOne: M~ing Ad,~ress: <br /> <br />~bing!nstaller;l ~ Phone: Address~ <br />Home Builder's RegistratiOn NO,: <br />Residential: ~ New: ~ Addition: ~ · Occupancy Use~f Building: '" <br />Commemlal: ~ ..... Ateraton: ~ Relocation.:, ~ ' <br /> <br /> NO, FEE AMOUNT <br /> Base Price $20,00 <br /> Residential <br /> New censtrce{i~ ieach flxtu, m.)., ' $ 9,00 <br /> Alterations (each fixture) 9.00 <br /> Re-located Residence (each fixture) , . 4.50 . <br /> Commercial <br /> 't~'i~);1 (each fixture) 9 00 <br /> New Cons ~ , . <br /> Alterations (each fixture) 9.00 <br /> Water Lines ,.. <br /> For the f rst 100 feet or fraction thereof .... : ,/ " 20,00 e,~.~, ~ ~ <br /> For additional 100 feet 15.00 <br /> ,S~w.e/Service Lines <br /> First 100 feet or fraction thereof .... / ' 30,00 ,~'~., ~ 0 <br /> Additional 100 feet 15.00 <br /> Mobile Home sewer/~,ater connection · <br /> (maximum S feet length) ' 25.00 <br /> Other (as per ~S,PBC and Building Official) ' <br /> On-Site Technical Review apply at Marian County only) <br /> Re-Inspection Fee , ' 25.00 <br /> STATE SURCHARGE <br /> , PLAN REVIEW FEE $ .... <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ ~ ~/-/ <br />with the indicated fee. CITYFEEToTAL ~ <br /> <br />i sm performing Work on a proper~y own or occupy. <br />I ~m a registered builder OR ( the sat horized representative o! SIGNATURE OF APPLI;ANT:. ~ <br />a reglsterea builSe~ ~ <br />The wOrE will be performed by a m§lSte~S bullClef. /J . <br />Other <br /> <br />MC 15-45 <br /> <br /> <br />