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~. ~,~,~ ~X,) ~ARION COUNTY BUILDING INSPECTION <br />Received By;; ~ ~ ~.~'*"' ~"~ ~. ~r Bldg. ~. 22~ <br /> <br /> PLUMBING PERMIT APPLICATION <br /> <br />OwneJr~ Phone: M~lin9 Ad~lmss;; <br />Job A~dre~s:: <br /> s,,eNo..' <br />Home ~er~ Rogi*tratlon NO,: ........... <br /> <br />Re~ido~tlal:: ~ N~w:: ~ Addition': ~ <br />Oomm~ial:: ~ AReratlo~,5,,,U Relocation: ~ Change:: <br /> <br />7 <br /> <br /> NO, FEE AMOUNT <br />Base Price $20.00 <br />Residential <br />New construmio..n,.(gach fixture) ........... $ 9,00 <br />Alterations each fixture) ................... 9:,0,0' , <br />Re-located Residence (each fixture ...... 4,50 <br />Commercia~ <br />New Construction each fixture ....... ' ............ 9.00 ,, <br />Alterations (each fixture) ...................... 9,00 <br />Water Lines .................... <br />....... For the first 100 feet or fraction th~i ............... ~ .......... 20,;9,0 .... ~.~., <br />For additional 1 oo feet 1 $,00 <br />Sewer Service Linee <br /> First 100 feet or fraction thereof ........ / 5000 <br /> Additional 100 feet 15,00 <br /> Mobile Home sewer~,veter coenection <br /> (maximum 5 feet leng,!l~) ................ 2500 <br /> Other (a~,,,per OSPSC and Building Official) <br /> On-Site Technical Review (.a?!y at Marion County only) ........ <br /> Re-inspection Fee 25.00 <br /> <br />STATE SURCHARGE <br />PL.N REW W FEE <br />INVESTIGATION F~ $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee. C~TY FEE $ <br /> <br />( ) lamareglste~edbuildetOR( )theauthorlzedrepn~sentatlveof SGNATUREOFAPPLCANT. <br /> eflister~d builde~ <br />(45~ The work WIll be performed by $ registered builder ~ ,, <br />( ) Otl~er, <br /> <br />MC 1 ~-45 <br />Rev 12/87 <br /> <br /> <br />