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· /~.~.~/_~,,~.~.,,.~,~.~,IARION COUNTY BUILDING INSPECTION <br /> ~¢¢~ [ ~';LUMBING PERMIT APPLICATION <br /> <br />Plumbing Inetaller: ~ Phone Add'ess: . <br />Re ti New: ~ AddRIom ~ Occupancy I UseofSulldJng: - · <br /> <br /> , NO, FEE AMOUNT <br /> Base Price $20.00 <br /> Residential <br /> (e~ch ) O0 <br /> New construction flxture.. . ' $9. " <br /> Alterations, (each fixture · 9.00 <br /> Re-located Residence (each fixture) ' ' 4.50 <br /> New Constr on (each f xture ' 5.00 <br /> Alterations (each fixture) ' 9,00 <br /> Water Lines '" ' .... <br /> For the first 100 fee!.or fra~ion thereof . / 20,00 <br /> For additional 100 feet ' 15,00 <br /> Sewer Service Lines · <br /> First 100 feet or fr. Fetion thereof ,/ ' 30.00 <br /> Additional 100 feet 15,00 <br /> ' " <br /> Mob e Home sewer/water con c on , . . , , , <br /> (maximum 5 feet length. , ' 25 00"' <br />_Other(asperOSPSCandBuildln~Officlal) . ~' ' · ' <br />On-Site Tach nisei Review (app y at Mar on County on y ' <br /> Re-Inspection Fee " i 25.00", <br /> STATE'SURCHARGE <br /> ' PLANREVIEWFEE '$ ' <br /> - · INVESTIGAT ON FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee. . ' CI'i'YFEE $ ~,,~ . <br />TOTAL $. ,~/-.~ <br /> <br />~ I~mareglstetedbuilderOR( ' heauho zr~d eoeaeme, tveof SIGNATUREOFAPPLIC <br /> \ <br /> <br /> <br />