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INSPECTION <br /> <br />Q~.~r: Phone: <br />JobAddre~s; ' ' ' CrossStmet: <br /> <br /> Plumbing Installer~ / P~one: Add,ss; <br /> Home Bullder~ Regi~ration No.: ~ . <br /> <br /> Residenfiat; ~ New: ~' Addition: <br /> <br /> NO. FEE AMOUNT <br /> B~se Price , $20,00 <br /> "Residential ' <br /> New construction (each f xture) / ,,~ $ 9.00 <br /> Alterations (each fixture) 9.00 . <br /> .Re-located Residence (each fixture) 4,$0 <br /> Commercial <br /> New Construction (each fixture) 9,00 <br /> Alterafiorls (each fixture) 9.00 <br /> Water L nas ,. <br /> i~or the first 100 feet or fre~ction thereof 20.00 <br /> For add tonal 100 feet 15.00 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof 30.00 <br /> Additional 100 feet 15.00 <br /> ~obiJa Home sewer/water connecUon <br /> (maximum $ feeHength) 25.00 <br /> Other (as per O~,PSC at'id Building Otflslal) . <br /> On-Site Technical Review (apply at Marion County Only <br /> Re-lrtspectlo~ Fee ~5.00 <br /> · FEE $ <br /> TAT <br />· ' S URC E <br />· ' ' PLANREVIEWFEE $ <br />INVESTIGATION FEE <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ ,..~, 8 ~'~ <br />with the indicated fee, , CITY FEE <br /> <br />, I am a registered builder OR, } the authorized representative of SIGNATURE OF APPUCAN'r <br /> <br />MC 1,5-45 <br />Rev. 12/67 <br /> <br /> <br />