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°ate <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ,~enator BidE, NO, 225 <br /> 2;~0 High street NE <br /> <br /> Phone $88-5f47 <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> · @ire NO, :: C r o,~..s Street <br /> <br /> Plumbing Installer ~ ~ Phone::'"_ Add'ess:: <br /> Home Builder~ Registration No <br /> 3'/9 <br />I Commemiat [] AIteratiom [] Relocation;; [] Cha~get: O3/~/q~,' ~,~.~,~,,~ <br /> <br />I~ase Price <br /> <br />Residential <br /> <br />New construction (each fixture) <br /> <br />Alterations (each fixture) <br /> <br />Re-located Residence (each fixture) <br /> <br />Commercial <br /> <br />New C0nst~¢tien (each fixture) <br /> <br />Alterations (each fixture) <br /> <br />Water Lines <br /> <br />For the first 100 feet or fraction thereof <br /> <br /> For additional lO0 feet <br />Sewer Service Lines <br /> First 100 feet or fraction thereof <br /> <br /> Additional 100 feet <br />Mobile Home sewer~eter coenection <br /> <br />__ (maximum 5 feet length) <br /> Other as per OSPSC and Building Official) <br /> <br />On-Site Technical Review (apply at Marion County only) <br />Re-inspection Fee <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee,, <br /> <br />Other <br /> <br />NO, FEE <br /> <br /> $ g00 <br /> 9,00 <br /> 4~0 <br /> <br /> 9,00 <br /> <br /> 2000 <br /> 15,00 <br /> <br /> / ~ooo <br /> 15,,00 <br /> <br /> 25.00 <br /> 25,00 <br /> <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> CITY FEE <br /> TOTAL <br />SIGNATURE OF AP~ <br /> <br />AMOUNT <br /> $20.00 <br /> <br /> <br />