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MARION COUNTY BUILDING iNSPECTION
<br /> Senator Bldg, No, 235
<br /> 220 High Street NE
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<br /> Phone 688-5147
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<br />PLUMBING PERMIT APPLICATION
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<br />Job Address: /~ ................... Site No,: Cres~ ~..,et:
<br />Plumbln{3 Installer: . Phone:... , Ad.dress'
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<br />Home Builder's Rag atrat on No
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<br />Residential: ~ New: ~ Addition: D' Occupancy,
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<br /> ' NO. FEE , AMOUNT,
<br /> Base Price ' ' $20.00 · ·
<br /> Residential ' ' '. ·
<br /> New construction (each fixture) . <~ $ 9,00 '
<br /> Alterations (each fixture) . · , ' 9.00, , ·
<br /> Re.located Residence each fixture ' ' 4,50' .
<br /> Commercial ' , , ' ' ,
<br /> New Construction (each flxture) ,9.00 ' ,
<br /> Alterations each fixture) · 9,00
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<br /> Water Lines'., ' . , ' "
<br /> For the first t O0 feet or fraction thereof ' · ~ · · ' 20.00 ' '
<br /> For add t ona 100 feat . · 15.00 · '
<br /> Sewer Service Lines . , , ,
<br /> First 100 feet or freer on thereof. , 30 00. '.
<br /> Additional 100 feet · 15.00
<br /> Mobile Home sewer/water connection ' , ' · , ·
<br /> (max~mumsfeet,I..e.~g~) , , · · ' ..... '25:00 ......
<br /> Other(asperOSPSCandBu dngOffca) ,' : , . ,
<br />On-Site Technical Review apply at Marion County on y) ,' ' ,. ' ",
<br />Re-lnspectbn Fee , 25,oo · '
<br />' '.., FEE ,$
<br />· . STATe S'URCHARGE, , ~, ~(~
<br />pI~,N REV EW.I~E ..... $
<br />INVESTIGATIQN FEE'
<br />Please return COMPLETE APPLICATION , ., FLEET,SURCHARGE $,
<br />· ,,CITY FEE,
<br />with the indicated fee, ·
<br />TOTAL---"-'~-'~-'~---~-$;
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<br />The work wi, be per~0rmed by ~ registered builder,
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<br />~1C 15-45
<br />Rev. 12/87
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