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MARION COUNTY BUILDING INSPECTION <br /> Senator IBId~l, No. 225 <br /> 220 High Street NE <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Ow ..... Mailing Address, <br /> ............... <br />/inginstaller p~' Ii ::~ ' Address <br />Home Builder~ Registration No :: <br /> <br />Residential:: ~ ..... New:: ~ Addition;; ~ .................... b~cupancy Use of B.IldI~:: <br />Commercial:; ~ ........ Alteration' ~ Relo~tion:: ~, ,, Change:: U <br /> <br /> NO,, FEE AMOUNT <br /> Base Price $20.00 <br /> Residential <br /> _NewconStructien eachfixt~'re)' , ..... -- ........ . ....................... $ 9,00 <br /> Alterations (each fixture J 9,00 <br /> Re-located Residence each fixture) 450 <br /> Commercial <br /> <br /> ...... i',l,~w Construction (each fixture) ............. 900 <br /> Alterations each fixture) ........... 9,00 <br /> Water Lines ................. <br /> For th~e.!?t 100 feet or fraction t'hereof .............. ~.,,, 20 O0 <br /> For addRiona1100 feet 15,00 <br /> Sewer Service Lines <br /> Fi'~t 100 feet ar fraction thereof ....... <br /> Additional 100 feet 15,,00 <br /> Mobile Home sewer~Nater connection <br /> (maximum 5 feet length) 25 O0 i <br /> .... 0iher (~ per OSPSC and"~-ildin90ff,icial ................... <br /> On-Site Technical Rev!,~W (apply at Marion County only .............. <br /> Re-ins. p.?ct!on Fee .......... 25,00 <br /> <br />STATE SURCHARGE <br />PLAN REVIEW FEE $ <br />INVESTIGATION FEE <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee,, CiTY FEE $ ,~,~'-~ <br />TOTAL ~ <br /> <br /> lamperformingworkonapropertylownoroccupy 0 A PLICANT~¢~&¢//~.~.-~C. ~ <br />( ) Other <br /> <br />MC 15-45 <br />Rev 12497 <br /> <br /> <br />