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PLUMBING PERMIT APPLICATION <br /> <br />Job AO~ ~ Site NO, <br /> <br /> Phone:: <br />Home Builder~ R NO,,;: <br />Residential ~ New;; ~ Addition:: <br /> <br />Cross SJreet:; <br />......... <br /> <br />Occupancy ] UseofBuilding ~ <br />Change, [] <br /> <br /> NO FEE AMOUNT <br /> Ease Price $¢'0 00 <br /> Residential <br /> N(~W constr uCt!,,o,9,(each fixtu re) ~, $ 9.00 ,~.~ <br /> Alterations (each fixture) 900 <br /> Ra-located..Residence (each fixture) ............ 450 <br /> Commemial <br /> New Constr~ction (each fixtare) .......... 9 ,?0, <br /> Alterations each fixture) .............. 900 <br /> Water Lines <br /> For the first 100 feet or fraction thereof 2000 <br /> For additional 100 feet 15 00 <br /> Sewer Service Lines <br /> First '~'00 feet or fraction thereof ", 30,00 <br /> Additional 100 feet 1500 <br /> Mobile Home sewer/water connection <br /> (maximum 5 feet length) ~>~,',00 <br /> Other (as per OSPSC and Building Official) <br /> _O.n-Site Technical Review apl~l,y at Marion County only) <br /> Re-Inspection, Fee .... ' ..... 25"~'0 <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> COMPLETE APPLICATION FLEET SURCHARGE $ <br />Please <br /> return <br />with the indicated fee,, C~TY FEE $ _~5~-/~2 <br />TOTA' <br /> <br />( '~/'-)-,.~,1 am a rogiste¢gd builder OR ( ) t he authorized representative of <br /> a registered bullde~ <br /> The work will be performed by a registered builds[ <br /> Other <br /> <br /> <br />